Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $107.97 / $124.80	Facility		$77.31	$107.97	$124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $44.59 / $102.08	Professional		$33.10	$44.59	$102.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $72.87 / $106.06	Professional		$42.60	$72.87	$106.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.70 / $86.70	Professional		$60.26	$72.70	$86.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $57.14 / $95.20	Facility		$35.33	$57.14	$95.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $66.00 / $97.26	Professional		$52.24	$66.00	$97.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $66.33 / $76.38	Facility		$50.65	$66.33	$76.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $61.38 / $95.20	Facility		$35.61	$61.38	$95.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $74.58 / $94.99	Professional		$58.82	$74.58	$94.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $102.09 / $137.27	Facility		$69.95	$102.09	$137.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $75.29 / $94.23	Professional		$58.25	$75.29	$94.23
United Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $76.38 / $106.69	Professional		$49.37	$76.38	$106.69