Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.50 / $91.50 / $91.50	Facility		$91.50	$91.50	$91.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $68.34 / $95.41	Professional		$59.82	$68.34	$95.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $147.11 / $198.57	Professional		$77.23	$147.11	$198.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $135.53 / $172.43	Professional		$98.58	$135.53	$172.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $91.50 / $148.50	Facility		$61.27	$91.50	$148.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.30 / $135.53 / $138.02	Facility		$113.30	$135.53	$138.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $91.50 / $148.50	Facility		$61.60	$91.50	$148.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $121.54 / $193.17	Professional		$53.13	$121.54	$193.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $137.30 / $177.50	Professional		$96.10	$137.30	$177.50
United Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $126.44 / $207.00	Professional		$69.00	$126.44	$207.00