Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Facility		$125.89	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $131.83	Professional		$123.03	$125.89	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $131.83	Facility		$120.23	$120.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $169.82	Professional		$107.15	$131.83	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $131.83 / $186.21	Facility		$123.03	$131.83	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $131.83	Professional		$60.26	$125.89	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Facility		$95.50	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $173.78	Facility		$91.20	$138.04	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $131.83	Professional		$74.13	$128.82	$131.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $165.96	Professional		$91.20	$120.23	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82