Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $100.18 / $150.06	Facility		$76.18	$100.18	$150.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $78.06 / $209.00	Professional		$75.03	$78.06	$209.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $130.84 / $151.38	Facility		$70.78	$130.84	$151.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $88.47	Professional		$75.02	$75.02	$88.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $169.48 / $202.55	Professional		$127.98	$169.48	$202.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $83.94 / $167.06	Facility		$73.84	$83.94	$167.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $97.54	Professional		$75.03	$79.53	$97.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $93.79 / $225.09	Facility		$75.03	$93.79	$225.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $90.78 / $161.31	Facility		$75.03	$90.78	$161.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $97.43 / $109.07	Professional		$77.05	$97.43	$109.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $150.00 / $296.07	Facility		$89.19	$150.00	$296.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $90.04	Professional		$75.03	$75.03	$90.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $87.03	Professional		$75.03	$75.03	$87.03