Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $114.25 / $549.51	Professional		$83.75	$114.25	$549.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $95.77	Professional		$81.92	$81.92	$95.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $369.32 / $481.68	Professional		$133.32	$369.32	$481.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.25 / $156.52 / $190.45	Facility		$114.25	$156.52	$190.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $179.02 / $199.97	Professional		$141.62	$179.02	$199.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $190.45 / $209.50	Facility		$151.19	$190.45	$209.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $171.41 / $190.45 / $209.50	Professional		$171.41	$190.45	$209.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $163.57 / $199.97	Facility		$112.22	$163.57	$199.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $166.77 / $209.50	Professional		$81.92	$166.77	$209.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.68 / $316.72 / $668.18	Facility		$158.68	$316.72	$668.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.79 / $209.50 / $209.50	Professional		$163.79	$209.50	$209.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $86.98 / $165.95	Professional		$82.77	$86.98	$165.95