Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $117.49	Facility		$83.18	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $100.00	Professional		$79.43	$83.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $173.78 / $173.78	Facility		$85.11	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $323.59	Professional		$154.88	$245.47	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $141.25	Facility		$83.18	$102.33	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $316.23	Professional		$141.25	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $144.54	Facility		$120.23	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $204.17	Facility		$83.18	$100.00	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $151.36	Professional		$79.43	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $138.04	Professional		$125.89	$138.04	$138.04