Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $75.92 / $76.83	Facility		$75.92	$75.92	$76.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $62.98 / $86.76	Professional		$52.33	$62.98	$86.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $69.78 / $151.72	Professional		$45.00	$69.78	$151.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $111.91 / $143.93	Professional		$80.88	$111.91	$143.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $76.83 / $143.38	Facility		$54.25	$76.83	$143.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $107.26 / $144.16	Professional		$83.94	$107.26	$144.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.14 / $115.36 / $122.91	Facility		$81.14	$115.36	$122.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $76.83 / $145.32	Facility		$54.25	$76.83	$145.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $93.98 / $150.27	Professional		$54.02	$93.98	$150.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $86.50 / $143.59	Professional		$61.94	$86.50	$143.59
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $126.28 / $184.44	Professional		$91.52	$126.28	$184.44