Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $47.04 / $246.89	Professional		$39.33	$47.04	$246.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $65.20	Professional		$47.60	$47.60	$65.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $160.51 / $209.34	Professional		$54.89	$160.51	$209.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $64.44 / $78.41	Facility		$47.04	$64.44	$78.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $73.70 / $82.33	Professional		$58.31	$73.70	$82.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $75.61 / $83.17	Facility		$62.25	$75.61	$83.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $78.41 / $83.17	Professional		$66.65	$78.41	$83.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $67.36 / $82.33	Facility		$47.04	$67.36	$82.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $68.66 / $86.25	Professional		$47.60	$68.66	$86.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $130.40 / $275.08	Facility		$65.33	$130.40	$275.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $86.25 / $86.25	Professional		$67.43	$86.25	$86.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $37.72 / $71.97	Professional		$35.51	$37.72	$71.97