Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $83.00	Professional		$71.55	$71.55	$83.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $143.10	Facility		$67.50	$67.50	$143.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $84.38	Professional		$71.55	$71.55	$84.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $159.04 / $182.16	Professional		$124.36	$159.04	$182.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $71.55 / $151.13	Facility		$50.15	$71.55	$151.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $82.28 / $93.02	Professional		$71.55	$82.28	$93.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $71.55 / $148.82	Facility		$37.60	$71.55	$148.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $71.55 / $114.60	Facility		$41.24	$71.55	$114.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $77.63 / $83.15	Professional		$41.24	$77.63	$83.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $71.55 / $71.55	Professional		$67.97	$71.55	$71.55
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $82.28	Professional		$71.55	$71.55	$82.28