Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $96.36 / $107.43	Facility		$95.61	$96.36	$107.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $52.22 / $109.36	Professional		$41.07	$52.22	$109.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $69.27	Facility		$69.27	$69.27	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $89.04 / $121.95	Professional		$58.84	$89.04	$121.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $97.77 / $111.02	Professional		$81.20	$97.77	$111.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $58.65 / $109.20	Facility		$41.07	$58.65	$109.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $82.37 / $135.79	Professional		$68.31	$82.37	$135.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $84.36 / $87.10	Facility		$56.26	$84.36	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $59.62 / $110.69	Facility		$42.40	$59.62	$110.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $95.43 / $119.44	Professional		$60.33	$95.43	$119.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $86.75 / $121.79	Professional		$66.18	$86.75	$121.79
United Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Facility		$42.42	$42.42	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $92.89 / $135.94	Professional		$65.65	$92.89	$135.94