Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $76.38 / $104.54	Professional		$48.03	$76.38	$104.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $230.73 / $230.73	Professional		$96.75	$230.73	$230.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $114.92 / $133.25	Professional		$94.16	$114.92	$133.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $104.54 / $149.49	Facility		$57.10	$104.54	$149.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $91.44 / $123.28	Facility		$70.09	$91.44	$123.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $104.54 / $149.49	Facility		$57.10	$104.54	$149.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $136.81 / $230.73	Professional		$101.53	$136.81	$230.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $357.32 / $468.62	Facility		$272.27	$357.32	$468.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $121.43 / $175.29	Professional		$100.18	$121.43	$175.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $98.01 / $177.26	Professional		$75.61	$98.01	$177.26