Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $173.78	Professional		$93.33	$112.20	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $363.08	Professional		$114.82	$288.40	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $169.82	Professional		$147.91	$154.88	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $177.83	Facility		$154.88	$154.88	$177.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $158.49	Professional		$154.88	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $162.18	Facility		$93.33	$100.00	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $154.88	Professional		$83.18	$83.18	$154.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Facility		$154.88	$154.88	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $95.50 / $125.89	Facility		$12.59	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $131.83	Professional		$79.43	$79.43	$131.83