Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $98.32 / $161.82	Facility		$80.75	$98.32	$161.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $81.72 / $98.32	Professional		$80.75	$81.72	$98.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $110.18 / $155.63	Facility		$76.33	$110.18	$155.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $87.78	Professional		$80.91	$80.91	$87.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $177.54 / $205.69	Professional		$79.73	$177.54	$205.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $115.70 / $173.96	Facility		$80.91	$115.70	$173.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $85.77 / $105.18	Professional		$80.91	$85.77	$105.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $80.91 / $167.93	Facility		$77.59	$80.91	$167.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $84.35 / $151.26	Facility		$78.48	$84.35	$151.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $94.54 / $97.33	Professional		$80.91	$94.54	$97.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $92.73 / $231.82	Facility		$72.70	$92.73	$231.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91