Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $63.96 / $549.51	Professional		$56.85	$63.96	$549.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $128.79	Professional		$94.02	$94.02	$128.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $113.63 / $148.22	Professional		$37.77	$113.63	$148.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $56.85 / $166.93	Facility		$40.47	$56.85	$166.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $53.96 / $149.07	Professional		$50.72	$53.96	$149.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $80.41 / $156.47	Facility		$53.96	$80.41	$156.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $151.31 / $151.31	Professional		$151.31	$151.31	$151.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $56.85 / $142.85	Facility		$53.96	$56.85	$142.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $84.61 / $158.36	Professional		$62.87	$84.61	$158.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.92 / $269.26 / $316.72	Facility		$71.92	$269.26	$316.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $59.36 / $163.52	Professional		$46.95	$59.36	$163.52
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $86.98 / $136.46	Professional		$52.39	$86.98	$136.46