Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $113.25 / $972.99	Professional		$100.66	$113.25	$972.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $200.99 / $262.14	Professional		$66.88	$200.99	$262.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $100.66 / $295.56	Facility		$71.66	$100.66	$295.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $95.54 / $263.93	Professional		$89.81	$95.54	$263.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $142.38 / $277.07	Facility		$95.54	$142.38	$277.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $100.66 / $252.94	Facility		$95.54	$100.66	$252.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $149.82 / $280.39	Professional		$111.31	$149.82	$280.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $476.76 / $560.79	Facility		$127.35	$476.76	$560.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $105.09 / $289.54	Professional		$83.12	$105.09	$289.54
United Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $154.02 / $241.63	Professional		$92.76	$154.02	$241.63