Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $144.80 / $144.80	Facility		$61.54	$144.80	$144.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $103.24	Professional		$57.92	$60.09	$103.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $123.08	Facility		$62.23	$62.23	$123.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.11 / $453.05 / $574.29	Professional		$376.11	$453.05	$574.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $63.96 / $133.04	Facility		$60.09	$63.96	$133.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $83.15 / $124.46	Professional		$67.80	$83.15	$124.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $79,999.20 / $79,999.20	Facility		$80.80	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $63.96 / $129.19	Facility		$60.09	$63.96	$129.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $75.43 / $82.67	Professional		$61.54	$75.43	$82.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $102.34 / $233.60	Facility		$63.96	$102.34	$233.60
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $69.98	Professional		$60.34	$60.34	$69.98