Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $84.38 / $504.68	Professional		$64.34	$84.38	$504.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $89.11	Professional		$65.05	$65.05	$89.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $297.57 / $388.12	Professional		$98.34	$297.57	$388.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $115.45 / $144.05	Facility		$84.27	$115.45	$144.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $132.06 / $147.51	Professional		$104.45	$132.06	$147.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $137.19 / $154.54	Facility		$111.51	$137.19	$154.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $140.49 / $154.54	Professional		$119.42	$140.49	$154.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $123.01 / $147.51	Facility		$84.27	$123.01	$147.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $123.01 / $154.54	Professional		$65.05	$123.01	$154.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $233.62 / $492.85	Facility		$117.04	$233.62	$492.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $154.54 / $154.54	Professional		$120.82	$154.54	$154.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $70.09 / $133.71	Professional		$66.95	$70.09	$133.71