Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $111.05 / $123.17	Facility		$108.78	$111.05	$123.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $53.67 / $111.51	Professional		$47.34	$53.67	$111.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $78.48	Facility		$78.48	$78.48	$78.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $100.82 / $139.86	Professional		$67.28	$100.82	$139.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $110.71 / $126.03	Professional		$91.97	$110.71	$126.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.44 / $67.00 / $124.95	Facility		$47.44	$67.00	$124.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $92.80 / $153.83	Professional		$77.39	$92.80	$153.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $94.81 / $99.83	Facility		$61.56	$94.81	$99.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $68.34 / $127.86	Facility		$48.03	$68.34	$127.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $108.75 / $137.08	Professional		$69.34	$108.75	$137.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $323.18 / $413.13	Facility		$184.17	$323.18	$413.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $99.31 / $139.15	Professional		$76.44	$99.31	$139.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $109.72 / $157.04	Professional		$75.92	$109.72	$157.04