Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $242.86	Facility		$103.22	$103.22	$242.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $100.79 / $103.22	Professional		$100.79	$100.79	$103.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $30.53 / $36.59	Professional		$13.71	$30.53	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $133.57 / $216.70	Facility		$30.50	$133.57	$216.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $30.20 / $33.75	Professional		$9.05	$30.20	$33.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $28.41 / $28.81	Facility		$23.65	$28.41	$28.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $123.40 / $216.70	Facility		$100.79	$123.40	$216.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $100.69 / $123.40	Professional		$20.43	$100.69	$123.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $235.07 / $557.11	Facility		$146.91	$235.07	$557.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Professional		$107.60	$107.60	$107.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19