Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $110.47 / $235.53	Professional		$98.36	$110.47	$235.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,478.00 / $1,863.00	Facility		$525.00	$1,478.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $195.02 / $265.72	Professional		$106.74	$195.02	$265.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $211.75 / $256.16	Professional		$171.00	$211.75	$256.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $168.82 / $260.47	Facility		$101.87	$168.82	$260.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $188.16 / $258.22	Professional		$162.24	$188.16	$258.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $196.98 / $205.36	Facility		$142.44	$196.98	$205.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.87 / $184.76 / $260.47	Facility		$101.87	$184.76	$260.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $212.76 / $271.35	Professional		$164.20	$212.76	$271.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $221.06 / $283.39	Professional		$183.01	$221.06	$283.39
United Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $201.97 / $304.44	Professional		$136.63	$201.97	$304.44