Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $99.54 / $157.60	Facility		$81.70	$99.54	$157.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $89.87 / $5,512.65	Professional		$78.80	$89.87	$5,512.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $115.23 / $162.02	Facility		$74.33	$115.23	$162.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $85.49	Professional		$78.79	$78.79	$85.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $179.68 / $214.47	Professional		$78.80	$179.68	$214.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $112.68 / $169.42	Facility		$60.60	$112.68	$169.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $86.32 / $102.44	Professional		$33.94	$86.32	$102.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $98.50 / $169.57	Facility		$78.79	$98.50	$169.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $88.34 / $150.22	Facility		$79.45	$88.34	$150.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $85.49 / $102.74	Professional		$35.31	$85.49	$102.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $85.37 / $165.73	Facility		$78.80	$85.37	$165.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80