Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $109.34 / $24,037.51	Facility		$60.14	$109.34	$24,037.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $9,347.40	Professional		$55.57	$56.11	$9,347.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $87.26 / $105.98	Facility		$51.39	$87.26	$105.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $62.91	Professional		$55.57	$55.57	$62.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $120.03 / $147.29	Professional		$95.10	$120.03	$147.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $58.35 / $119.48	Facility		$54.67	$58.35	$119.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $72.23	Professional		$55.57	$58.90	$72.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $55.57 / $113.46	Facility		$51.00	$55.57	$113.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $57.79 / $106.74	Facility		$55.57	$57.79	$106.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $61.64 / $68.80	Professional		$55.57	$61.64	$68.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $69.87 / $179.40	Facility		$46.58	$69.87	$179.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $66.68	Professional		$55.57	$55.57	$66.68
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $63.91	Professional		$55.57	$55.57	$63.91