Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $101.71 / $14,267.61	Facility		$100.72	$101.71	$14,267.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $296.20	Professional		$101.72	$101.72	$296.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $165.12 / $204.36	Facility		$95.96	$165.12	$204.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $119.95	Professional		$101.72	$101.72	$119.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $245.32 / $334.40	Professional		$178.00	$245.32	$334.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $106.81 / $297.63	Facility		$100.72	$106.81	$297.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $111.89 / $129.88	Professional		$101.72	$111.89	$129.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.71 / $104.67 / $211.11	Facility		$100.71	$104.67	$211.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $128.63 / $222.28	Facility		$101.72	$128.63	$222.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $128.63 / $145.85	Professional		$101.72	$128.63	$145.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $101.72 / $101.72	Professional		$96.63	$101.72	$101.72
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $116.98	Professional		$101.72	$101.72	$116.98