Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $56.40 / $63.05	Professional		$41.02	$56.40	$63.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Facility		$63.01	$63.01	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $263.51 / $263.51	Professional		$88.86	$263.51	$263.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $131.19 / $150.38	Professional		$107.47	$131.19	$150.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $63.05 / $135.29	Facility		$40.15	$63.05	$135.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $94.17 / $113.23	Facility		$70.09	$94.17	$113.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $63.05 / $135.29	Facility		$39.13	$63.05	$135.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $115.93 / $263.51	Professional		$72.03	$115.93	$263.51
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 $90.06 / $108.58 / $160.13	Professional		$90.06	$108.58	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $114.23 / $175.09	Professional		$82.16	$114.23	$175.09