Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $152.04 / $731.30	Professional		$111.47	$152.04	$731.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $168.00	Professional		$122.64	$122.64	$168.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.42 / $491.46 / $640.99	Professional		$177.42	$491.46	$640.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.04 / $208.29 / $253.46	Facility		$152.04	$208.29	$253.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.46 / $238.25 / $266.13	Professional		$188.46	$238.25	$266.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.20 / $253.46 / $278.81	Facility		$201.20	$253.46	$278.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $215.44 / $253.46 / $262.54	Professional		$215.44	$253.46	$262.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.04 / $217.42 / $266.13	Facility		$152.04	$217.42	$266.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $221.94 / $278.81	Professional		$122.64	$221.94	$278.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $211.17 / $421.50 / $889.22	Facility		$211.17	$421.50	$889.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $278.81 / $278.81	Professional		$217.98	$278.81	$278.81
United Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $115.74 / $221.84	Professional		$110.14	$115.74	$221.84