Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $56.48 / $79.78	Professional		$30.00	$56.48	$79.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $96.29 / $141.35	Professional		$71.00	$96.29	$141.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $75.61 / $155.21	Facility		$53.35	$75.61	$155.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $94.03 / $154.08	Professional		$59.24	$94.03	$154.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $112.82 / $129.97	Facility		$62.70	$112.82	$129.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $86.68 / $155.21	Facility		$52.22	$86.68	$155.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $101.53 / $156.85	Professional		$64.02	$101.53	$156.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $98.54 / $162.85	Professional		$58.68	$98.54	$162.85
United Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $131.91 / $190.44	Professional		$93.11	$131.91	$190.44