Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $71.31 / $80.73	Professional		$52.12	$71.31	$80.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $79.79 / $79.79	Facility		$79.79	$79.79	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $333.64 / $333.64	Professional		$112.52	$333.64	$333.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $166.04 / $190.31	Professional		$135.97	$166.04	$190.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $80.73 / $140.74	Facility		$54.42	$80.73	$140.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $140.16 / $151.96	Facility		$105.13	$140.16	$151.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $80.73 / $147.33	Facility		$52.36	$80.73	$147.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $146.80 / $333.64	Professional		$91.51	$146.80	$333.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $137.49 / $191.40	Professional		$109.38	$137.49	$191.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $136.16 / $212.90	Professional		$91.13	$136.16	$212.90