Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $110.28 / $2,504.09	Facility		$63.38	$110.28	$2,504.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $79.86 / $151.65	Professional		$69.72	$79.86	$151.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $126.36 / $126.94	Facility		$74.76	$126.36	$126.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $94.18	Professional		$79.86	$79.86	$94.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $150.74 / $196.61	Professional		$106.29	$150.74	$196.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $116.18 / $214.63	Facility		$63.38	$116.18	$214.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $87.85 / $109.41	Professional		$79.86	$87.85	$109.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $87.85 / $239.58	Facility		$63.38	$87.85	$239.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $117.44 / $198.78	Facility		$79.86	$117.44	$198.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $97.92 / $157.47	Professional		$79.86	$97.92	$157.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $208.32 / $471.11	Facility		$130.13	$208.32	$471.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $87.85	Professional		$79.86	$79.86	$87.85
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $91.84	Professional		$79.86	$79.86	$91.84