Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $80.79 / $85.55	Professional		$52.35	$80.79	$85.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $128.78 / $128.78	Facility		$128.78	$128.78	$128.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $90.25 / $157.40	Professional		$55.45	$90.25	$157.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $161.83 / $230.67	Professional		$78.13	$161.83	$230.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $85.51 / $243.81	Facility		$56.39	$85.51	$243.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $169.05 / $259.94	Professional		$130.76	$169.05	$259.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $161.84 / $204.68	Facility		$125.00	$161.84	$204.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $199.08 / $237.65	Facility		$76.00	$199.08	$237.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $165.92 / $237.65	Professional		$90.25	$165.92	$237.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $166.33 / $262.19	Professional		$147.22	$166.33	$262.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $68.34 / $259.27	Professional		$53.27	$68.34	$259.27