Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $19,952.62 / $54,954.09	Facility		$66.07	$19,952.62	$54,954.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $53,703.18	Professional		$58.88	$75.86	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $117.49	Facility		$56.23	$97.72	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $154.88	Professional		$93.33	$128.82	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $63.10 / $120.23	Facility		$60.26	$63.10	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $11,481.54	Professional		$58.88	$64.57	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $125.89	Facility		$60.26	$75.86	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $63.10 / $109.65	Facility		$60.26	$63.10	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $79.43	Professional		$61.66	$72.44	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $177.83	Facility		$53.70	$102.33	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $83.18	Professional		$56.23	$60.26	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $144.54	Facility		$60.26	$60.26	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61