Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $90.26 / $214.88	Facility		$57.31	$90.26	$214.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $44.39 / $71.43	Professional		$30.59	$44.39	$71.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $45.11	Facility		$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $80.81 / $118.73	Professional		$46.36	$80.81	$118.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $93.82 / $108.60	Professional		$78.77	$93.82	$108.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $55.93 / $108.80	Facility		$32.46	$55.93	$108.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $84.63 / $127.33	Professional		$64.05	$84.63	$127.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $78.77 / $81.06	Facility		$52.77	$78.77	$81.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $96.36 / $117.37	Facility		$40.08	$96.36	$117.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $89.76 / $118.41	Professional		$66.84	$89.76	$118.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $95.03 / $114.65	Professional		$72.42	$95.03	$114.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $57.59 / $123.85	Professional		$31.48	$57.59	$123.85