Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $128.82	Professional		$52.48	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $158.49	Professional		$51.29	$69.18	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $223.87	Professional		$77.62	$158.49	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $128.82	Facility		$56.23	$69.18	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $257.04	Professional		$77.62	$151.36	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $199.53	Facility		$134.90	$162.18	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $218.78	Facility		$69.18	$125.89	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $245.47	Professional		$69.18	$158.49	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $263.03	Professional		$97.72	$165.96	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $257.04	Professional		$53.70	$87.10	$257.04