Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $71.50 / $97.59	Facility		$48.74	$71.50	$97.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $54.12 / $95.30	Professional		$32.52	$54.12	$95.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $99.40 / $159.65	Professional		$60.83	$99.40	$159.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $92.71 / $136.27	Professional		$62.89	$92.71	$136.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $63.36 / $107.08	Facility		$36.11	$63.36	$107.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $92.33 / $132.30	Professional		$62.68	$92.33	$132.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $109.10 / $119.26	Facility		$67.09	$109.10	$119.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $59.24 / $111.83	Facility		$35.90	$59.24	$111.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $82.20 / $142.40	Professional		$46.80	$82.20	$142.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $92.34 / $139.29	Professional		$61.31	$92.34	$139.29
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.12 / $177.16	Professional		$77.62	$123.12	$177.16