Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $49.57 / $272.64	Professional		$45.43	$49.57	$272.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $65.00	Professional		$55.25	$55.25	$65.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $174.46 / $226.94	Professional		$69.70	$174.46	$226.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $71.81 / $106.58	Facility		$49.57	$71.81	$106.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $84.59 / $95.83	Professional		$74.64	$84.59	$95.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $93.28 / $111.94	Facility		$87.12	$93.28	$111.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $79.41 / $106.58	Facility		$49.57	$79.41	$106.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $86.14 / $101.87	Professional		$55.25	$86.14	$101.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $157.13 / $333.35	Facility		$77.58	$157.13	$333.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $95.83 / $119.46	Professional		$74.92	$95.83	$119.46
United Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $52.85 / $88.09	Professional		$45.56	$52.85	$88.09