Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.61 / $201.61 / $201.61	Facility		$201.61	$201.61	$201.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $126.87 / $166.30	Professional		$50.80	$126.87	$166.30
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 $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $196.66 / $338.34	Professional		$106.69	$196.66	$338.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $144.80 / $280.14	Facility		$65.13	$144.80	$280.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $223.86 / $327.04	Professional		$106.64	$223.86	$327.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $263.31 / $296.14	Facility		$140.69	$263.31	$296.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $144.80 / $331.28	Facility		$65.13	$144.80	$331.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $192.84 / $362.44	Professional		$128.26	$192.84	$362.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $246.81 / $377.96	Professional		$201.89	$246.81	$377.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $271.17 / $448.58	Professional		$208.29	$271.17	$448.58