Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $78.26 / $89.21	Facility		$78.26	$78.26	$89.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $69.75 / $113.88	Professional		$56.68	$69.75	$113.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Facility		$108.73	$108.73	$108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $112.72 / $185.89	Professional		$53.00	$112.72	$185.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $137.41 / $176.71	Professional		$97.12	$137.41	$176.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $78.26 / $146.26	Facility		$60.74	$78.26	$146.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $120.90 / $206.90	Professional		$80.79	$120.90	$206.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $117.42 / $142.04	Facility		$81.61	$117.42	$142.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $78.26 / $151.91	Facility		$60.74	$78.26	$151.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $110.50 / $173.85	Professional		$62.90	$110.50	$173.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $91.63 / $157.52	Professional		$68.00	$91.63	$157.52
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $93.05 / $186.76	Professional		$55.04	$93.05	$186.76