Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $117.49	Facility		$61.66	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $117.49	Professional		$61.66	$63.10	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $125.89	Facility		$58.88	$85.11	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Professional		$63.10	$63.10	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $323.59	Professional		$151.36	$245.47	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $141.25	Facility		$63.10	$75.86	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $316.23	Professional		$114.82	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $63.10 / $93.33	Facility		$60.26	$63.10	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $181.97	Facility		$63.10	$74.13	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $151.36	Professional		$74.13	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $125.89	Professional		$81.28	$125.89	$125.89