Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $116.58 / $155.44	Facility		$104.18	$116.58	$155.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $90.88 / $155.44	Professional		$72.23	$90.88	$155.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Facility		$130.25	$130.25	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $105.46 / $221.96	Professional		$74.00	$105.46	$221.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $167.75 / $218.03	Professional		$118.22	$167.75	$218.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.69 / $112.35 / $204.18	Facility		$77.69	$112.35	$204.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $150.04 / $211.83	Professional		$114.51	$150.04	$211.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $174.20 / $186.26	Facility		$114.68	$174.20	$186.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.69 / $111.63 / $209.10	Facility		$77.69	$111.63	$209.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $140.54 / $221.05	Professional		$85.00	$140.54	$221.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $157.96 / $224.56	Professional		$106.90	$157.96	$224.56
United Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $157.21 / $263.73	Professional		$97.85	$157.21	$263.73