Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $251.16 / $251.16	Facility		$251.16	$251.16	$251.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $67.56 / $320.56	Professional		$49.59	$67.56	$320.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $90.38	Professional		$76.81	$76.81	$90.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $215.20 / $280.66	Professional		$77.76	$215.20	$280.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $92.57 / $111.09	Facility		$67.56	$92.57	$111.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $104.42 / $116.64	Professional		$82.61	$104.42	$116.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $111.09 / $126.60	Facility		$99.98	$111.09	$126.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $91.08 / $111.09	Facility		$67.56	$91.08	$111.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $97.28 / $122.20	Professional		$76.81	$97.28	$122.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $184.76 / $389.76	Facility		$92.56	$184.76	$389.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $122.20 / $122.20	Professional		$96.65	$122.20	$122.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $50.74 / $96.79	Professional		$48.47	$50.74	$96.79