Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $77.34 / $495.34	Professional		$57.93	$77.34	$495.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $80.45	Professional		$58.73	$58.73	$80.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $272.72 / $355.69	Professional		$90.13	$272.72	$355.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $105.81 / $132.16	Facility		$77.23	$105.81	$132.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $121.03 / $135.19	Professional		$95.74	$121.03	$135.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.21 / $128.76 / $171.68	Facility		$102.21	$128.76	$171.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $128.76 / $171.68	Professional		$115.88	$128.76	$171.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $112.75 / $135.19	Facility		$77.23	$112.75	$135.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $112.75 / $141.63	Professional		$58.73	$112.75	$141.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.27 / $214.12 / $451.74	Facility		$107.27	$214.12	$451.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $141.63 / $141.63	Professional		$110.73	$141.63	$141.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $64.23 / $123.12	Professional		$61.13	$64.23	$123.12