Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $58.74 / $115.02	Facility		$53.40	$58.74	$115.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $85.44	Professional		$53.40	$57.51	$85.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $72.11 / $100.08	Facility		$54.25	$72.11	$100.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.77	Professional		$57.51	$57.51	$64.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $120.57 / $146.35	Professional		$92.85	$120.57	$146.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $53.40 / $97.89	Facility		$3.24	$53.40	$97.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $60.96 / $74.76	Professional		$54.01	$60.96	$74.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $65.09 / $172.53	Facility		$53.40	$65.09	$172.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $57.51 / $97.89	Facility		$3.29	$57.51	$97.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $58.59 / $65.09	Professional		$51.23	$58.59	$65.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $66.14	Professional		$57.51	$57.51	$66.14