Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $56.87 / $399.64	Professional		$33.46	$56.87	$399.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $67.20	Professional		$49.06	$49.06	$67.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $68.90 / $89.86	Professional		$22.97	$68.90	$89.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $45.14 / $122.45	Facility		$32.81	$45.14	$122.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $97.34 / $107.43	Professional		$31.17	$97.34	$107.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $77.27 / $108.06	Facility		$32.81	$77.27	$108.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $48.89 / $108.06	Professional		$32.81	$48.89	$108.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $51.54 / $119.33	Facility		$32.81	$51.54	$119.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $56.29 / $113.20	Professional		$38.22	$56.29	$113.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $192.35 / $226.40	Facility		$47.85	$192.35	$226.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $36.09 / $110.06	Professional		$28.54	$36.09	$110.06
United Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $149.47 / $199.30	Facility		$149.47	$149.47	$199.30
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.83 / $78.81	Professional		$34.54	$51.83	$78.81