Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $94.02 / $96.38	Facility		$54.36	$94.02	$96.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $58.61 / $188.00	Professional		$36.18	$58.61	$188.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $48.48 / $48.48	Facility		$48.48	$48.48	$48.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $92.92 / $139.27	Professional		$58.44	$92.92	$139.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $78.89 / $91.03	Professional		$61.11	$78.89	$91.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $68.81 / $130.19	Facility		$36.83	$68.81	$130.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $82.09 / $114.57	Professional		$57.63	$82.09	$114.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $75.70 / $103.18	Facility		$62.10	$75.70	$103.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $89.70 / $126.99	Facility		$35.94	$89.70	$126.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $98.80 / $127.62	Professional		$71.90	$98.80	$127.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $93.60 / $135.36	Professional		$74.30	$93.60	$135.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $98.50 / $140.97	Professional		$58.14	$98.50	$140.97