Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $91.06 / $99.04	Facility		$74.28	$91.06	$99.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $62.70 / $90.90	Professional		$47.59	$62.70	$90.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $127.72 / $184.88	Professional		$54.80	$127.72	$184.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $125.23 / $158.68	Professional		$90.08	$125.23	$158.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $91.06 / $151.49	Facility		$56.09	$91.06	$151.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $112.50 / $169.57	Professional		$78.00	$112.50	$169.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $125.96 / $133.96	Facility		$90.71	$125.96	$133.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $90.90 / $159.16	Facility		$56.12	$90.90	$159.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $116.23 / $167.32	Professional		$66.27	$116.23	$167.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $109.98 / $165.44	Professional		$87.48	$109.98	$165.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $88.36 / $171.75	Professional		$54.00	$88.36	$171.75