Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $88.08 / $151.82	Facility		$73.16	$88.08	$151.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $76.66 / $5,400.00	Professional		$73.90	$76.66	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $100.31 / $146.76	Facility		$71.61	$100.31	$146.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $82.35	Professional		$75.91	$75.91	$82.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $160.51 / $186.40	Professional		$72.08	$160.51	$186.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $104.25 / $163.21	Facility		$52.00	$104.25	$163.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $80.45 / $98.68	Professional		$75.91	$80.45	$98.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $91.45 / $157.88	Facility		$73.16	$91.45	$157.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $100.31 / $163.21	Facility		$71.61	$100.31	$163.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $82.35 / $88.95	Professional		$43.54	$82.35	$88.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $105.22 / $210.96	Facility		$58.87	$105.22	$210.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $91.09	Professional		$75.91	$75.91	$91.09