Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $156.91 / $20,526.88	Facility		$86.31	$156.91	$20,526.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $82.19 / $748.30	Professional		$79.00	$82.19	$748.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $127.06 / $150.41	Facility		$74.52	$127.06	$150.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $89.43	Professional		$79.00	$79.00	$89.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $172.51 / $205.79	Professional		$131.78	$172.51	$205.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $82.95 / $169.85	Facility		$78.45	$82.95	$169.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $102.70	Professional		$79.00	$83.74	$102.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $90.91 / $237.00	Facility		$78.45	$90.91	$237.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $87.86 / $150.41	Facility		$79.00	$87.86	$150.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $87.86 / $98.41	Professional		$79.00	$87.86	$98.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $99.00 / $257.67	Facility		$66.00	$99.00	$257.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $94.80	Professional		$79.00	$79.00	$94.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $90.85	Professional		$79.00	$79.00	$90.85