Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.94 / $116.45 / $128.80	Facility		$114.94	$116.45	$128.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $57.74 / $148.91	Professional		$49.19	$57.74	$148.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $104.95 / $147.36	Professional		$70.97	$104.95	$147.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $113.59 / $129.31	Professional		$94.42	$113.59	$129.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $70.84 / $131.13	Facility		$49.26	$70.84	$131.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $95.36 / $158.10	Professional		$79.53	$95.36	$158.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $98.83 / $105.19	Facility		$65.48	$98.83	$105.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $71.73 / $133.86	Facility		$50.10	$71.73	$133.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $113.93 / $143.52	Professional		$73.15	$113.93	$143.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $362.09 / $468.62	Facility		$272.27	$362.09	$468.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $103.97 / $145.91	Professional		$80.03	$103.97	$145.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $110.88 / $164.41	Professional		$79.40	$110.88	$164.41