Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $87.10	Professional		$57.54	$66.07	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $177.83	Professional		$63.10	$123.03	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $177.83	Professional		$123.03	$147.91	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $141.25	Facility		$58.88	$85.11	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $89.13	Professional		$57.54	$69.18	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $134.90	Facility		$109.65	$131.83	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $141.25	Facility		$61.66	$87.10	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $177.83	Professional		$70.79	$97.72	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $177.83	Professional		$107.15	$138.04	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $169.82	Professional		$75.86	$112.20	$169.82