Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $100.95 / $50,907.20	Facility		$81.91	$100.95	$50,907.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $99.28	Professional		$82.08	$82.08	$99.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $129.94 / $153.06	Facility		$76.53	$129.94	$153.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $92.92	Professional		$82.07	$82.07	$92.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $179.61 / $219.54	Professional		$142.37	$179.61	$219.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $82.08 / $176.47	Facility		$81.91	$82.08	$176.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $94.39 / $106.70	Professional		$82.08	$94.39	$106.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $92.92 / $246.24	Facility		$81.91	$92.92	$246.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $90.28 / $155.25	Facility		$82.08	$90.28	$155.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $91.22 / $104.53	Professional		$82.07	$91.22	$104.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $235.92 / $299.27	Facility		$193.25	$235.92	$299.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $90.29	Professional		$82.08	$82.08	$90.29
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $94.39	Professional		$82.08	$82.08	$94.39