Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $154.88	Facility		$134.90	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $138.04	Professional		$128.82	$134.90	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $57.54	Professional		$46.77	$53.70	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $208.93	Facility		$134.90	$162.18	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $138.04	Professional		$112.20	$134.90	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $45.71	Facility		$37.15	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $162.18 / $309.03	Facility		$46.77	$162.18	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $190.55	Professional		$57.54	$138.04	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21