Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $83.45 / $102.64	Facility		$35.34	$83.45	$102.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $66.67 / $149.63	Professional		$55.90	$66.67	$149.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $106.06 / $174.39	Professional		$50.00	$106.06	$174.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $129.40 / $166.41	Professional		$91.59	$129.40	$166.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $73.42 / $137.72	Facility		$57.06	$73.42	$137.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $114.08 / $195.23	Professional		$76.08	$114.08	$195.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $117.92 / $134.66	Facility		$77.44	$117.92	$134.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $73.42 / $142.76	Facility		$57.16	$73.42	$142.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $103.85 / $163.19	Professional		$59.00	$103.85	$163.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $86.51 / $148.90	Professional		$64.20	$86.51	$148.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $94.50 / $198.90	Professional		$52.39	$94.50	$198.90