Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $426.58 / $691.83	Facility		$93.33	$426.58	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $107.15	Professional		$89.13	$93.33	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $281.84	Professional		$223.87	$257.04	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $691.83	Facility		$93.33	$123.03	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $112.20	Professional		$89.13	$93.33	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $204.17	Facility		$107.15	$107.15	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $316.23	Facility		$93.33	$131.83	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $223.87	Professional		$79.43	$95.50	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23