Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $62.20 / $200.59	Professional		$38.42	$62.20	$200.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.63 / $94.63 / $94.63	Facility		$94.63	$94.63	$94.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $67.70 / $116.28	Professional		$42.08	$67.70	$116.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $118.89 / $169.47	Professional		$57.40	$118.89	$169.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $63.59 / $199.26	Facility		$41.63	$63.59	$199.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $126.27 / $190.96	Professional		$96.06	$126.27	$190.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $119.70 / $156.93	Facility		$91.66	$119.70	$156.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $148.49 / $177.62	Facility		$56.68	$148.49	$177.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $123.76 / $176.40	Professional		$67.70	$123.76	$176.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $123.85 / $193.98	Professional		$108.93	$123.85	$193.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $66.04 / $191.81	Professional		$39.61	$66.04	$191.81