Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.78 / $85.20 / $343.82	Facility		$76.78	$85.20	$343.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $62.86 / $214.15	Professional		$30.46	$62.86	$214.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $88.71 / $302.45	Professional		$50.02	$88.71	$302.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $88.01 / $317.12	Professional		$64.51	$88.01	$317.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $84.13 / $206.06	Facility		$34.20	$84.13	$206.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $101.68 / $288.33	Professional		$53.22	$101.68	$288.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $125.04 / $275.37	Facility		$58.80	$125.04	$275.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $89.00 / $231.26	Facility		$37.60	$89.00	$231.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $105.06 / $287.45	Professional		$61.77	$105.06	$287.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.02 / $1,651.93 / $2,008.78	Facility		$1,292.02	$1,651.93	$2,008.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $107.00 / $319.14	Professional		$61.35	$107.00	$319.14
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $141.71 / $356.40	Professional		$78.48	$141.71	$356.40