Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $71.27 / $93.41	Professional		$61.78	$71.27	$93.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $162.13 / $192.51	Professional		$137.40	$162.13	$192.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $102.75 / $189.55	Facility		$72.62	$102.75	$189.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $144.63 / $246.13	Professional		$123.82	$144.63	$246.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $150.41 / $156.11	Facility		$109.04	$150.41	$156.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.68 / $121.43 / $198.22	Facility		$74.68	$121.43	$198.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $162.72 / $211.82	Professional		$70.41	$162.72	$211.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $172.60 / $218.87	Professional		$125.09	$172.60	$218.87
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $158.19 / $233.59	Professional		$110.74	$158.19	$233.59