Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $94.47 / $117.14	Facility		$84.84	$94.47	$117.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $64.13 / $171.30	Professional		$46.74	$64.13	$171.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $109.68 / $163.36	Professional		$58.46	$109.68	$163.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $119.62 / $153.76	Professional		$90.15	$119.62	$153.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $90.67 / $146.91	Facility		$54.17	$90.67	$146.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $104.98 / $149.60	Professional		$77.14	$104.98	$149.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $116.58 / $125.29	Facility		$78.30	$116.58	$125.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $97.47 / $159.61	Facility		$57.02	$97.47	$159.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $119.54 / $159.61	Professional		$89.90	$119.54	$159.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $191.80 / $262.07	Facility		$113.53	$191.80	$262.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $116.51 / $167.43	Professional		$83.07	$116.51	$167.43
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.81 / $191.63	Professional		$85.11	$125.81	$191.63