Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $121.42 / $574.39	Professional		$110.26	$121.42	$574.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $389.20 / $507.62	Professional		$155.22	$389.20	$507.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $182.25 / $221.76	Facility		$133.03	$182.25	$221.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $208.45 / $232.85	Professional		$164.89	$208.45	$232.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $199.58 / $221.76	Facility		$176.04	$199.58	$221.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $221.76 / $221.76	Professional		$183.80	$221.76	$221.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $189.04 / $232.85	Facility		$111.10	$189.04	$232.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $194.18 / $243.94	Professional		$92.15	$194.18	$243.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.76 / $368.78 / $778.00	Facility		$184.76	$368.78	$778.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $243.94 / $243.94	Professional		$190.71	$243.94	$243.94
United Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $91.70 / $175.75	Professional		$87.26	$91.70	$175.75