Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $92.52 / $200.00	Facility		$92.52	$92.52	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $156.97 / $291.48	Professional		$130.22	$156.97	$291.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.32 / $328.32 / $328.32	Facility		$328.32	$328.32	$328.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $99.43 / $119.15	Professional		$44.65	$99.43	$119.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $193.47 / $337.51	Facility		$127.78	$193.47	$337.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $62.63 / $129.22	Professional		$62.63	$62.63	$129.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $92.49 / $93.80	Facility		$61.84	$92.49	$93.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $168.62 / $328.32	Facility		$92.74	$168.62	$328.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $111.45 / $172.37	Professional		$92.15	$111.45	$172.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $173.91 / $184.68	Professional		$153.90	$173.91	$184.68