Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.95 / $61.95 / $61.95	Facility		$61.95	$61.95	$61.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $49.41 / $66.83	Professional		$41.67	$49.41	$66.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Facility		$54.25	$54.25	$54.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $95.15 / $138.66	Professional		$53.49	$95.15	$138.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $89.50 / $115.11	Professional		$64.62	$89.50	$115.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $61.95 / $108.11	Facility		$43.54	$61.95	$108.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $81.78 / $114.32	Professional		$57.33	$81.78	$114.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $91.70 / $96.48	Facility		$67.83	$91.70	$96.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $61.95 / $117.03	Facility		$43.54	$61.95	$117.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $83.57 / $122.73	Professional		$47.19	$83.57	$122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $93.98 / $124.08	Professional		$65.92	$93.98	$124.08
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $98.67 / $146.44	Professional		$74.36	$98.67	$146.44