Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $122.78 / $159.25	Facility		$83.15	$122.78	$159.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $105.00 / $260.91	Professional		$53.17	$105.00	$260.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $134.16 / $202.62	Professional		$75.56	$134.16	$202.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $142.59 / $184.20	Professional		$105.40	$142.59	$184.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $136.60 / $215.88	Facility		$66.01	$136.60	$215.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $133.43 / $193.68	Professional		$93.40	$133.43	$193.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $147.61 / $172.19	Facility		$114.91	$147.61	$172.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $142.63 / $213.31	Facility		$66.01	$142.63	$213.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $157.08 / $207.70	Professional		$107.82	$157.08	$207.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $194.19 / $353.58	Facility		$156.47	$194.19	$353.58
United Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $170.85 / $239.39	Professional		$113.50	$170.85	$239.39