Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $110.14 / $110.14	Facility		$110.14	$110.14	$110.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $75.81 / $433.37	Professional		$75.81	$75.81	$433.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $177.75	Professional		$82.11	$96.60	$177.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $262.52 / $353.11	Professional		$88.45	$262.52	$353.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $126.35 / $213.55	Facility		$75.81	$126.35	$213.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $122.67 / $179.73	Professional		$12.64	$122.67	$179.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $137.31 / $191.29	Facility		$126.35	$137.31	$191.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $137.31 / $191.29	Professional		$126.35	$137.31	$191.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $126.35 / $194.14	Facility		$75.81	$126.35	$194.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $133.05 / $181.39	Professional		$96.60	$133.05	$181.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $251.62 / $500.77	Facility		$123.21	$251.62	$500.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $144.94	Professional		$144.94	$144.94	$144.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $73.59 / $136.76	Professional		$71.19	$73.59	$136.76