Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $91.14 / $295.00	Professional		$75.00	$91.14	$295.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $86.21	Professional		$62.93	$62.93	$86.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $291.89 / $380.72	Professional		$103.89	$291.89	$380.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $121.97 / $148.41	Facility		$89.03	$121.97	$148.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $139.51 / $155.84	Professional		$110.35	$139.51	$155.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.81 / $137.97 / $151.78	Facility		$117.81	$137.97	$151.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $148.41 / $148.41	Professional		$133.58	$148.41	$148.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $127.31 / $155.84	Facility		$86.21	$127.31	$155.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $129.96 / $163.26	Professional		$62.93	$129.96	$163.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.65 / $246.80 / $520.70	Facility		$123.65	$246.80	$520.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $163.26 / $163.26	Professional		$127.64	$163.26	$163.26
United Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $68.83 / $131.33	Professional		$64.79	$68.83	$131.33