Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $162.01 / $178.81	Facility		$107.82	$162.01	$178.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $128.25 / $260.00	Professional		$63.68	$128.25	$260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $143.62 / $211.43	Professional		$82.03	$143.62	$211.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $151.02 / $168.51	Professional		$111.41	$151.02	$168.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $127.21 / $191.26	Facility		$67.81	$127.21	$191.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $131.44 / $218.58	Professional		$111.69	$131.44	$218.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $136.44 / $146.06	Facility		$100.00	$136.44	$146.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $141.16 / $191.26	Facility		$72.55	$141.16	$191.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $155.88 / $197.10	Professional		$109.08	$155.88	$197.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $174.01 / $225.54	Professional		$124.12	$174.01	$225.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $132.93 / $226.62	Professional		$85.43	$132.93	$226.62