Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $101.27 / $114.10	Facility		$85.58	$101.27	$114.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $85.77 / $140.05	Professional		$68.31	$85.77	$140.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $95.00 / $207.78	Professional		$76.76	$95.00	$207.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $157.80 / $203.03	Professional		$114.20	$157.80	$203.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $103.95 / $190.90	Facility		$73.68	$103.95	$190.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $144.91 / $229.77	Professional		$92.75	$144.91	$229.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $166.62 / $174.20	Facility		$104.52	$166.62	$174.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $102.20 / $194.29	Facility		$73.88	$102.20	$194.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $129.52 / $211.61	Professional		$81.20	$129.52	$211.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $150.63 / $210.87	Professional		$101.74	$150.63	$210.87
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $143.15 / $243.33	Professional		$86.75	$143.15	$243.33