Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $72.23 / $77.62	Facility		$72.23	$72.23	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $63.37 / $90.30	Professional		$50.04	$63.37	$90.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $133.31 / $158.55	Professional		$111.34	$133.31	$158.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $91.69 / $161.28	Facility		$59.71	$91.69	$161.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $113.22 / $185.68	Professional		$93.41	$113.22	$185.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $123.69 / $126.63	Facility		$81.73	$123.69	$126.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $96.14 / $161.32	Facility		$59.72	$96.14	$161.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $132.74 / $169.42	Professional		$86.50	$132.74	$169.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $138.71 / $177.42	Professional		$94.76	$138.71	$177.42
United Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $125.81 / $191.63	Professional		$90.66	$125.81	$191.63