Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $132.30 / $529.45	Professional		$102.54	$132.30	$529.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $116.53	Professional		$85.07	$85.07	$116.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $381.39 / $497.42	Professional		$154.38	$381.39	$497.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $181.25 / $220.55	Facility		$132.30	$181.25	$220.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $207.32 / $231.58	Professional		$163.98	$207.32	$231.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.05 / $220.55 / $242.61	Facility		$175.05	$220.55	$242.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $220.55 / $231.58	Professional		$198.50	$220.55	$231.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $187.99 / $231.58	Facility		$110.50	$187.99	$231.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $193.12 / $242.61	Professional		$85.07	$193.12	$242.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.75 / $366.76 / $773.75	Facility		$183.75	$366.76	$773.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $242.61 / $242.61	Professional		$189.67	$242.61	$242.61
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $89.87 / $171.46	Professional		$84.59	$89.87	$171.46