Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $82.21 / $86.45	Facility		$82.21	$82.21	$86.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $60.61 / $82.21	Professional		$46.72	$60.61	$82.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $83.13	Facility		$83.13	$83.13	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $100.90	Professional		$57.73	$57.73	$100.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $123.97 / $156.93	Professional		$88.65	$123.97	$156.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $82.21 / $151.27	Facility		$53.32	$82.21	$151.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $113.70 / $166.12	Professional		$84.63	$113.70	$166.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $127.77 / $135.32	Facility		$93.99	$127.77	$135.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $82.21 / $160.60	Facility		$53.32	$82.21	$160.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $100.50 / $166.00	Professional		$60.85	$100.50	$166.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $110.01 / $171.80	Professional		$88.24	$110.01	$171.80
United Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $133.69 / $209.27	Professional		$101.23	$133.69	$209.27