Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $154.32 / $541.85	Facility		$82.42	$154.32	$541.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $104.68 / $219.00	Professional		$81.83	$104.68	$219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $117.96 / $154.32	Facility		$77.90	$117.96	$154.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $89.59	Professional		$82.57	$82.57	$89.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $181.11 / $219.58	Professional		$81.33	$181.11	$219.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $118.09 / $177.55	Facility		$82.58	$118.09	$177.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $90.83 / $103.23	Professional		$82.58	$90.83	$103.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $93.48 / $247.26	Facility		$82.42	$93.48	$247.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $117.96 / $177.55	Facility		$82.58	$117.96	$177.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $96.63 / $105.16	Professional		$82.57	$96.63	$105.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58