Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Facility		$71.04	$71.04	$71.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $76.34	Professional		$70.70	$70.70	$76.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $102.80 / $147.08	Facility		$66.69	$102.80	$147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $83.37	Professional		$70.70	$70.70	$83.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $170.00 / $208.43	Professional		$141.01	$170.00	$208.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $71.04 / $330.00	Facility		$70.70	$71.04	$330.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $74.94 / $91.91	Professional		$70.70	$74.94	$91.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.69 / $77.77 / $168.32	Facility		$70.69	$77.77	$168.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $90.80 / $190.84	Facility		$70.70	$90.80	$190.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $119.28 / $199.89	Professional		$70.70	$119.28	$199.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $70.70 / $70.70	Professional		$67.17	$70.70	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $81.31	Professional		$70.70	$70.70	$81.31