Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $118.16 / $200.18	Facility		$100.30	$118.16	$200.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $125.38	Professional		$100.09	$101.09	$125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $164.63 / $194.28	Facility		$94.42	$164.63	$194.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $113.31	Professional		$100.09	$100.09	$113.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $220.07 / $269.13	Professional		$174.43	$220.07	$269.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $105.09 / $215.19	Facility		$100.09	$105.09	$215.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.09 / $130.12	Professional		$100.09	$106.09	$130.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $122.27 / $300.27	Facility		$100.09	$122.27	$300.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $110.10 / $200.60	Facility		$100.09	$110.10	$200.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $113.61 / $127.47	Professional		$100.09	$113.61	$127.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $132.57 / $330.79	Facility		$88.38	$132.57	$330.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $120.11	Professional		$100.09	$100.09	$120.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $116.10	Professional		$100.09	$100.09	$116.10