Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $68.95 / $374.62	Professional		$53.73	$68.95	$374.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $83.99	Professional		$61.31	$61.31	$83.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $205.96 / $268.64	Professional		$80.47	$205.96	$268.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $94.48 / $114.95	Facility		$68.95	$94.48	$114.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $108.05 / $120.70	Professional		$85.48	$108.05	$120.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $103.46 / $114.95	Facility		$91.25	$103.46	$114.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $114.95 / $114.95	Professional		$97.38	$114.95	$114.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $98.61 / $120.70	Facility		$68.95	$98.61	$120.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $100.66 / $126.45	Professional		$61.31	$100.66	$126.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $191.18 / $403.30	Facility		$95.78	$191.18	$403.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $126.45 / $126.45	Professional		$98.86	$126.45	$126.45
United Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $48.58 / $92.69	Professional		$46.42	$48.58	$92.69