Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $107.58 / $423.38	Professional		$43.07	$107.58	$423.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $103.71	Professional		$74.93	$74.93	$103.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $264.19 / $322.95	Professional		$102.71	$264.19	$322.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.03 / $128.60 / $148.57	Facility		$105.03	$128.60	$148.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $132.06 / $146.72	Professional		$110.17	$132.06	$146.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $143.29 / $168.74	Facility		$116.48	$143.29	$168.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $146.72 / $161.40	Professional		$128.22	$146.72	$161.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $128.47 / $147.38	Facility		$88.15	$128.47	$147.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $128.47 / $161.40	Professional		$74.93	$128.47	$161.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $161.40 / $161.40	Professional		$126.19	$161.40	$161.40
United Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $97.64 / $97.64	Facility		$47.95	$97.64	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $62.23 / $118.71	Professional		$58.57	$62.23	$118.71