Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $147.91	Facility		$117.49	$117.49	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $302.00	Facility		$151.36	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $323.59	Professional		$169.82	$257.04	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $213.80	Facility		$141.25	$147.91	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $316.23	Professional		$151.36	$245.47	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $186.21	Facility		$151.36	$181.97	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $263.03	Facility		$144.54	$177.83	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $204.17	Professional		$79.43	$125.89	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $257.04	Professional		$144.54	$190.55	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $162.18	Professional		$125.89	$154.88	$162.18