Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $178.68 / $16,350.53	Facility		$64.23	$178.68	$16,350.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $90.24 / $7,430.32	Professional		$70.66	$90.24	$7,430.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $33.93 / $84.29	Facility		$19.98	$33.93	$84.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $96.93	Professional		$89.34	$89.34	$96.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $126.72 / $148.91	Professional		$52.77	$126.72	$148.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $127.76 / $1,428.82	Facility		$89.34	$127.76	$1,428.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $116.14	Professional		$89.34	$94.70	$116.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $89.34 / $175.20	Facility		$55.13	$89.34	$175.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $33.79 / $93.69	Facility		$21.68	$33.79	$93.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $89.34 / $105.36	Professional		$24.98	$89.34	$105.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $232.14 / $453.25	Facility		$94.28	$232.14	$453.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $99.45	Professional		$89.34	$89.34	$99.45