Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $80.77 / $142.74	Facility		$69.84	$80.77	$142.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $74.25 / $147.47	Professional		$71.37	$74.25	$147.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $110.92 / $135.26	Facility		$65.31	$110.92	$135.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $80.80	Professional		$71.37	$71.37	$80.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $153.41 / $187.11	Professional		$121.54	$153.41	$187.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $74.94 / $153.44	Facility		$69.84	$74.94	$153.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $92.78	Professional		$71.37	$75.65	$92.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $82.14 / $214.11	Facility		$69.84	$82.14	$214.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $77.66 / $135.00	Facility		$70.86	$77.66	$135.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $77.66 / $87.53	Professional		$70.84	$77.66	$87.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $88.13 / $225.64	Facility		$58.75	$88.13	$225.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $85.64	Professional		$71.37	$71.37	$85.64
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $82.08	Professional		$71.37	$71.37	$82.08