Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $82.32 / $90.07	Facility		$82.32	$82.32	$90.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $44.30 / $106.91	Professional		$34.49	$44.30	$106.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $70.20 / $103.30	Professional		$43.21	$70.20	$103.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $83.67 / $94.22	Professional		$69.61	$83.67	$94.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $63.92 / $92.65	Facility		$38.11	$63.92	$92.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $71.04 / $110.82	Professional		$58.18	$71.04	$110.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $71.40 / $73.03	Facility		$52.81	$71.40	$73.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $66.34 / $93.53	Facility		$38.11	$66.34	$93.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $78.59 / $102.45	Professional		$59.98	$78.59	$102.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $76.84 / $103.28	Professional		$64.95	$76.84	$103.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $73.45 / $111.47	Professional		$38.97	$73.45	$111.47