Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $126.86 / $205.88	Facility		$101.49	$126.86	$205.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $103.96 / $123.00	Professional		$101.49	$103.96	$123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $159.83 / $221.36	Facility		$97.11	$159.83	$221.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $111.67	Professional		$102.94	$102.94	$111.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $223.02 / $297.02	Professional		$100.15	$223.02	$297.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $147.19 / $221.32	Facility		$102.94	$147.19	$221.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $113.23 / $133.82	Professional		$102.94	$113.23	$133.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $116.53 / $279.10	Facility		$101.48	$116.53	$279.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $173.44 / $295.00	Facility		$102.94	$173.44	$295.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $126.24 / $184.38	Professional		$102.94	$126.24	$184.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $197.88 / $428.51	Facility		$151.41	$197.88	$428.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
United Facility/Professional Facility Modifier Low / Median / High Price $211.01 / $211.01 / $247.03	Facility		$211.01	$211.01	$247.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $118.38	Professional		$102.94	$102.94	$118.38