Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $430.47 / $688.40	Facility		$106.48	$430.47	$688.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $93.03 / $111.64	Professional		$93.03	$93.03	$111.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.54 / $190.54 / $190.54	Facility		$190.54	$190.54	$190.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $257.14 / $277.45	Professional		$222.94	$257.14	$277.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $123.29 / $200.01	Facility		$93.03	$123.29	$200.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $123.82 / $206.36	Facility		$106.48	$123.82	$206.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $133.10 / $212.96	Facility		$93.03	$133.10	$212.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $133.10 / $186.34	Professional		$95.27	$133.10	$186.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $106.48 / $106.48	Professional		$106.48	$106.48	$106.48
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $115.00	Professional		$100.00	$100.00	$115.00