Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $87.67 / $146.27	Facility		$79.06	$87.67	$146.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $53.23 / $130.93	Professional		$33.32	$53.23	$130.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $90.72 / $155.44	Professional		$55.12	$90.72	$155.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $93.48 / $147.41	Professional		$68.26	$93.48	$147.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $73.92 / $126.16	Facility		$43.20	$73.92	$126.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $92.38 / $142.06	Professional		$62.27	$92.38	$142.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $98.25 / $119.26	Facility		$63.00	$98.25	$119.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $73.92 / $138.91	Facility		$45.64	$73.92	$138.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $93.42 / $150.16	Professional		$63.59	$93.42	$150.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.30 / $153.24	Facility		$95.48	$125.30	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $95.04 / $152.90	Professional		$68.26	$95.04	$152.90
United Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $111.08 / $181.29	Professional		$83.71	$111.08	$181.29