Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.25 / $114.25 / $114.25	Facility		$114.25	$114.25	$114.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $69.03 / $397.32	Professional		$69.03	$69.03	$397.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $93.52	Facility		$93.52	$93.52	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $112.00	Professional		$79.48	$93.52	$112.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $119.57 / $366.31	Professional		$93.00	$119.57	$366.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $120.44 / $160.28	Facility		$69.03	$120.44	$160.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $120.32 / $132.85	Professional		$13.03	$120.32	$132.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.85 / $144.76 / $172.71	Facility		$132.85	$144.76	$172.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $144.76 / $158.13	Professional		$119.57	$144.76	$158.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $119.33 / $160.28	Facility		$69.03	$119.33	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $121.17 / $153.97	Professional		$93.52	$121.17	$153.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.68 / $194.68 / $229.00	Facility		$194.68	$194.68	$229.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $132.05 / $132.05	Professional		$132.05	$132.05	$132.05
United Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $68.65 / $131.94	Professional		$63.97	$68.65	$131.94