Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $93.91 / $110.33	Facility		$93.91	$93.91	$110.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $82.59 / $117.93	Professional		$65.64	$82.59	$117.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $130.49 / $222.33	Professional		$45.00	$130.49	$222.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $151.63 / $202.19	Professional		$102.54	$151.63	$202.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $99.75 / $182.75	Facility		$67.94	$99.75	$182.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $137.16 / $198.68	Professional		$94.05	$137.16	$198.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $163.75 / $171.52	Facility		$115.20	$163.75	$171.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.97 / $97.67 / $186.21	Facility		$67.97	$97.67	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $134.46 / $204.02	Professional		$75.79	$134.46	$204.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $147.02 / $210.05	Professional		$102.90	$147.02	$210.05
United Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $173.89 / $262.08	Professional		$111.83	$173.89	$262.08