Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $80.34 / $753.23	Professional		$63.06	$80.34	$753.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $131.38 / $171.35	Professional		$43.56	$131.38	$171.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $85.69 / $226.63	Facility		$62.23	$85.69	$226.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $106.85 / $204.04	Professional		$59.12	$106.85	$204.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $146.68 / $205.25	Facility		$62.23	$146.68	$205.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $92.75 / $199.94	Professional		$62.23	$92.75	$199.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $97.83 / $226.63	Facility		$62.23	$97.83	$226.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $106.85 / $215.01	Professional		$72.50	$106.85	$215.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.82 / $365.12 / $430.02	Facility		$90.82	$365.12	$430.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $68.45 / $208.93	Professional		$54.14	$68.45	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $97.68 / $149.59	Professional		$65.12	$97.68	$149.59