Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $196.39 / $221.73	Facility		$84.65	$196.39	$221.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $43.37 / $201.07	Professional		$25.82	$43.37	$201.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.56 / $1,084.56 / $1,084.56	Facility		$1,084.56	$1,084.56	$1,084.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $93.43 / $117.02	Professional		$62.52	$93.43	$117.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $94.05 / $100.24	Professional		$42.02	$94.05	$100.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $85.68 / $115.60	Facility		$57.00	$85.68	$115.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $68.84 / $119.97	Professional		$63.84	$68.84	$119.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $78.98 / $88.44	Facility		$62.02	$78.98	$88.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $101.36 / $136.85	Facility		$83.30	$101.36	$136.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $92.82 / $109.28	Professional		$60.48	$92.82	$109.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,258.55 / $1,551.28	Facility		$1,037.60	$1,258.55	$1,551.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $87.96 / $111.81	Professional		$74.34	$87.96	$111.81
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $47.53 / $125.55	Professional		$34.97	$47.53	$125.55