Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $127.54	Facility		$107.00	$107.00	$127.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $136.80 / $411.21	Professional		$108.68	$136.80	$411.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $268.94 / $268.94	Facility		$268.94	$268.94	$268.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $137.06 / $164.26	Professional		$61.55	$137.06	$164.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $157.65 / $274.23	Facility		$113.99	$157.65	$274.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Professional		$120.06	$120.06	$120.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $127.50 / $129.31	Facility		$95.76	$127.50	$129.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $182.40 / $338.98	Facility		$113.99	$182.40	$338.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $134.47 / $162.35	Professional		$93.28	$134.47	$162.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $96.53 / $96.53	Professional		$96.53	$96.53	$96.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $135.66 / $144.07	Professional		$120.06	$135.66	$144.07