Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $79.70 / $106.28	Facility		$64.00	$79.70	$106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $72.25 / $131.69	Professional		$54.51	$72.25	$131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $109.10 / $188.81	Professional		$38.00	$109.10	$188.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $138.56 / $178.19	Professional		$95.78	$138.56	$178.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $85.00 / $143.22	Facility		$61.06	$85.00	$143.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $117.16 / $176.45	Professional		$75.02	$117.16	$176.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $123.28 / $144.72	Facility		$81.70	$123.28	$144.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $84.78 / $155.21	Facility		$61.06	$84.78	$155.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $106.54 / $171.72	Professional		$63.44	$106.54	$171.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $122.40 / $177.23	Professional		$83.37	$122.40	$177.23
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $107.06 / $188.31	Professional		$58.32	$107.06	$188.31