Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $110.15 / $172.97	Facility		$72.26	$110.15	$172.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $82.71 / $283.57	Professional		$57.71	$82.71	$283.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $108.00	Facility		$50.00	$100.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $134.13 / $210.25	Professional		$75.02	$134.13	$210.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $170.07 / $197.16	Professional		$145.78	$170.07	$197.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $80.94 / $181.86	Facility		$41.37	$80.94	$181.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $123.82 / $173.65	Professional		$82.54	$123.82	$173.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $146.25 / $153.43	Facility		$92.75	$146.25	$153.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.48 / $195.65	Facility		$75.00	$181.48	$195.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $140.22 / $201.06	Professional		$83.62	$140.22	$201.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.06 / $204.92 / $299.27	Facility		$138.06	$204.92	$299.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $92.73 / $207.43	Professional		$88.09	$92.73	$207.43
United Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $148.50 / $219.42	Professional		$99.86	$148.50	$219.42