Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $107.15	Professional		$67.61	$81.28	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $218.78	Professional		$56.23	$97.72	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $208.93	Professional		$117.49	$162.18	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $162.18	Facility		$70.79	$95.50	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $112.20	Professional		$70.79	$83.18	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $165.96	Facility		$134.90	$162.18	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $154.88	Facility		$70.79	$93.33	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $194.98	Professional		$61.66	$79.43	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $208.93	Professional		$112.20	$162.18	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $234.42	Professional		$107.15	$162.18	$234.42