Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $933.25	Facility		$104.71	$208.93	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $3,630.78	Professional		$104.71	$107.15	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $302.00	Facility		$97.72	$229.09	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Professional		$104.71	$104.71	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $302.00	Professional		$169.82	$229.09	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $263.03	Facility		$104.71	$112.20	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $162.18	Professional		$97.72	$112.20	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $234.42	Facility		$109.65	$134.90	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $398.11	Facility		$104.71	$114.82	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $181.97	Professional		$72.44	$89.13	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $309.03 / $812.83	Facility		$131.83	$309.03	$812.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $251.19	Facility		$104.71	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89