Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $118.82 / $70,764.00	Facility		$65.67	$118.82	$70,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $65.67 / $36,852.00	Professional		$59.40	$65.67	$36,852.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $83.16 / $115.62	Facility		$56.05	$83.16	$115.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $64.45	Professional		$59.41	$59.41	$64.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $131.38 / $154.88	Professional		$59.00	$131.38	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $84.96 / $158.44	Facility		$59.41	$84.96	$158.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $62.98 / $77.23	Professional		$59.41	$62.98	$77.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $74.26 / $178.23	Facility		$59.41	$74.26	$178.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $64.87 / $115.62	Facility		$62.05	$64.87	$115.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $70.06 / $75.69	Professional		$59.41	$70.06	$75.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $67.56 / $181.31	Facility		$59.41	$67.56	$181.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $71.29	Professional		$59.41	$59.41	$71.29