Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $65.20 / $338.08	Professional		$49.10	$65.20	$338.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $66.78	Professional		$48.75	$48.75	$66.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $186.07 / $242.70	Professional		$76.09	$186.07	$242.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $89.34 / $108.71	Facility		$65.20	$89.34	$108.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $102.19 / $114.15	Professional		$80.04	$102.19	$114.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $96.68 / $108.71	Facility		$85.83	$96.68	$108.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $108.71 / $108.71	Professional		$87.89	$108.71	$108.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.22 / $92.68 / $114.15	Facility		$64.22	$92.68	$114.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $95.19 / $119.58	Professional		$48.75	$95.19	$119.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $180.78 / $381.39	Facility		$90.57	$180.78	$381.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $119.58 / $119.58	Professional		$93.49	$119.58	$119.58
United Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $140.62 / $187.49	Facility		$140.62	$140.62	$187.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $43.85 / $83.65	Professional		$41.27	$43.85	$83.65