Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $128.69 / $249.01	Professional		$67.87	$128.69	$249.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Facility		$137.19	$137.19	$137.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $100.27 / $206.19	Professional		$34.71	$100.27	$206.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $267.10 / $380.71	Professional		$128.94	$267.10	$380.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.53 / $143.50 / $308.52	Facility		$93.53	$143.50	$308.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $215.62 / $428.63	Professional		$135.85	$215.62	$428.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.30 / $250.73 / $274.72	Facility		$133.30	$250.73	$274.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.44 / $316.73 / $397.70	Facility		$111.44	$316.73	$397.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $265.85 / $397.70	Professional		$132.56	$265.85	$397.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $610.29 / $613.76	Facility		$610.29	$610.29	$613.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $275.41 / $442.31	Professional		$248.38	$275.41	$442.31
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $129.88 / $437.40	Professional		$81.64	$129.88	$437.40