Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $154.88	Professional		$70.79	$87.10	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $107.15	Professional		$77.62	$91.20	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $354.81	Professional		$95.50	$158.49	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $100.00 / $158.49	Facility		$13.18	$100.00	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $144.54	Professional		$120.23	$128.82	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $165.96	Facility		$131.83	$134.90	$165.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $158.49	Professional		$131.83	$134.90	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $173.78	Facility		$70.79	$138.04	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $154.88	Professional		$77.62	$79.43	$154.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $457.09	Facility		$128.82	$199.53	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $75.86 / $100.00	Facility		$10.00	$75.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $131.83	Professional		$69.18	$77.62	$131.83