Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $181.97	Facility		$75.86	$109.65	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $6,760.83	Professional		$75.86	$79.43	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $147.91	Facility		$70.79	$100.00	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $190.55	Professional		$75.86	$162.18	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $151.36	Facility		$75.86	$79.43	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $117.49	Professional		$75.86	$79.43	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $158.49	Facility		$75.86	$95.50	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $208.93	Facility		$75.86	$102.33	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $89.13	Professional		$60.26	$77.62	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $199.53	Facility		$58.88	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $181.97	Facility		$75.86	$75.86	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86