Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $187.97 / $229.13	Facility		$108.03	$187.97	$229.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $105.49 / $229.13	Professional		$95.90	$105.49	$229.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $227.03 / $314.20	Facility		$90.47	$227.03	$314.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $135.71	Professional		$95.90	$95.90	$135.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $249.98 / $351.49	Professional		$181.12	$249.98	$351.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $206.19 / $2,403.13	Facility		$95.90	$206.19	$2,403.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $110.29 / $148.65	Professional		$95.90	$110.29	$148.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $119.88 / $347.30	Facility		$95.90	$119.88	$347.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $206.19 / $2,345.88	Facility		$95.90	$206.19	$2,345.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $191.93 / $237.94	Professional		$104.04	$191.93	$237.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.51 / $274.19 / $1,055.92	Facility		$181.51	$274.19	$1,055.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $105.49	Professional		$95.90	$95.90	$105.49
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $115.08	Professional		$95.90	$95.90	$115.08