Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $64.79 / $110.32	Facility		$55.16	$64.79	$110.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.71 / $125.21	Professional		$55.16	$55.71	$125.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $75.84 / $107.18	Facility		$52.04	$75.84	$107.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $59.85	Professional		$55.16	$55.16	$59.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $119.37 / $141.29	Professional		$41.37	$119.37	$141.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $55.16 / $78.88	Facility		$33.19	$55.16	$78.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $58.47 / $71.70	Professional		$55.16	$58.47	$71.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $68.95 / $165.48	Facility		$55.15	$68.95	$165.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $65.31 / $107.18	Facility		$42.25	$65.31	$107.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $65.31 / $66.98	Professional		$51.74	$65.31	$66.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $63.43	Professional		$55.16	$55.16	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $63.43	Professional		$54.58	$55.16	$63.43