Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $173.78	Facility		$70.79	$74.13	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $74.13	Professional		$69.18	$70.79	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $147.91	Facility		$79.43	$79.43	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $147.91	Professional		$57.54	$138.04	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $154.88	Facility		$102.33	$102.33	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $72.44	Professional		$58.88	$69.18	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $87.10	Facility		$57.54	$57.54	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $165.96	Facility		$72.44	$79.43	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $131.83	Professional		$69.18	$77.62	$131.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $177.83	Facility		$56.23	$91.20	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Professional		$72.44	$75.86	$75.86