Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $141.25	Facility		$75.86	$112.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $128.82	Professional		$70.79	$77.62	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $181.97	Professional		$70.79	$151.36	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Facility		$75.86	$75.86	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $128.82	Professional		$70.79	$77.62	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $144.54	Facility		$70.79	$70.79	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $208.93	Facility		$75.86	$107.15	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $89.13	Professional		$75.86	$79.43	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $281.84	Facility		$104.71	$165.96	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $89.13	Professional		$79.43	$87.10	$89.13