Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $380.19	Facility		$89.13	$125.89	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Professional		$89.13	$89.13	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $125.89	Facility		$97.72	$117.49	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $380.19	Facility		$60.26	$89.13	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $125.89	Professional		$70.79	$79.43	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $346.74	Professional		$147.91	$154.88	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $257.04	Professional		$169.82	$257.04	$257.04