Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $76.81 / $468.35	Professional		$63.39	$76.81	$468.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $77.09	Professional		$56.28	$56.28	$77.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $257.80 / $336.24	Professional		$89.63	$257.80	$336.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $105.23 / $128.04	Facility		$76.81	$105.23	$128.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $120.36 / $134.44	Professional		$95.22	$120.36	$134.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.65 / $121.74 / $133.91	Facility		$101.65	$121.74	$133.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $128.04 / $128.04	Professional		$115.24	$128.04	$128.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $112.12 / $134.44	Facility		$76.81	$112.12	$134.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $112.12 / $140.84	Professional		$56.28	$112.12	$140.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $212.94 / $449.22	Facility		$106.68	$212.94	$449.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $140.84 / $140.84	Professional		$110.11	$140.84	$140.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $60.74 / $115.88	Professional		$57.80	$60.74	$115.88