Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $134.55 / $175.75	Facility		$75.09	$134.55	$175.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $124.00 / $205.14	Professional		$64.28	$124.00	$205.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $81.42 / $81.42	Facility		$81.42	$81.42	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $145.01 / $207.49	Professional		$86.00	$145.01	$207.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $148.69 / $165.74	Professional		$109.58	$148.69	$165.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $176.79 / $288.47	Facility		$72.54	$176.79	$288.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $132.06 / $222.81	Professional		$109.14	$132.06	$222.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $137.55 / $144.05	Facility		$102.23	$137.55	$144.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $180.20 / $243.11	Facility		$72.54	$180.20	$243.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $154.03 / $193.76	Professional		$111.83	$154.03	$193.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $218.61 / $291.97	Facility		$130.69	$218.61	$291.97
United Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $140.58 / $219.63	Professional		$94.11	$140.58	$219.63