Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $91.51 / $100.75	Facility		$90.76	$91.51	$100.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $47.95 / $104.03	Professional		$36.15	$47.95	$104.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $76.34 / $111.44	Professional		$48.54	$76.34	$111.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $92.17 / $104.71	Professional		$77.39	$92.17	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $70.92 / $103.11	Facility		$40.33	$70.92	$103.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $77.47 / $123.00	Professional		$64.58	$77.47	$123.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $79.06 / $81.06	Facility		$58.31	$79.06	$81.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $71.97 / $103.83	Facility		$40.33	$71.97	$103.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $87.24 / $114.00	Professional		$68.09	$87.24	$114.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $130.04 / $166.39	Facility		$72.42	$130.04	$166.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $84.70 / $113.70	Professional		$71.63	$84.70	$113.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $77.89 / $121.79	Professional		$42.59	$77.89	$121.79