Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $113.78 / $19,454.40	Facility		$100.12	$113.78	$19,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $205.09	Professional		$91.34	$92.25	$205.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $149.81 / $178.78	Facility		$86.17	$149.81	$178.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $103.40	Professional		$91.34	$91.34	$103.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $199.48 / $243.97	Professional		$158.13	$199.48	$243.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $95.91 / $196.38	Facility		$91.02	$95.91	$196.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.82 / $118.74	Professional		$91.34	$96.82	$118.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $109.96 / $274.02	Facility		$91.02	$109.96	$274.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $95.71 / $187.35	Facility		$91.34	$95.71	$187.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $103.28 / $115.72	Professional		$91.34	$103.28	$115.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.27 / $123.41 / $301.97	Facility		$82.27	$123.41	$301.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $109.61	Professional		$91.34	$91.34	$109.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $105.04	Professional		$91.34	$91.34	$105.04