Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $151.36	Facility		$64.57	$93.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $83.18	Professional		$63.10	$64.57	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $114.82	Facility		$60.26	$79.43	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $69.18	Professional		$64.57	$64.57	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $162.18	Professional		$63.10	$138.04	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $128.82	Facility		$64.57	$67.61	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $83.18	Professional		$64.57	$67.61	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $131.83	Facility		$63.10	$79.43	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $117.49	Facility		$61.66	$64.57	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $79.43	Professional		$57.54	$69.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $158.49	Facility		$64.57	$69.18	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $154.88	Facility		$64.57	$64.57	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57