Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.32 / $108.32 / $122.46	Facility		$108.32	$108.32	$122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $92.13 / $134.54	Professional		$70.98	$92.13	$134.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $150.16 / $150.16	Facility		$150.16	$150.16	$150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $185.21 / $261.33	Professional		$104.38	$185.21	$261.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $189.26 / $243.38	Professional		$134.36	$189.26	$243.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $113.03 / $197.25	Facility		$76.03	$113.03	$197.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $152.85 / $223.43	Professional		$111.69	$152.85	$223.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $167.02 / $196.98	Facility		$111.76	$167.02	$196.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $111.57 / $199.38	Facility		$77.29	$111.57	$199.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $152.09 / $234.69	Professional		$90.00	$152.09	$234.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $168.25 / $241.23	Professional		$115.50	$168.25	$241.23
United Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $191.82 / $289.06	Professional		$142.02	$191.82	$289.06