Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $76.15 / $414.49	Professional		$50.53	$76.15	$414.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $75.80	Professional		$55.33	$55.33	$75.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $227.98 / $297.35	Professional		$88.86	$227.98	$297.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $104.33 / $126.94	Facility		$76.15	$104.33	$126.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $119.32 / $126.94	Professional		$94.39	$119.32	$126.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $114.25 / $126.94	Facility		$100.78	$114.25	$126.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $114.25 / $126.94	Professional		$100.85	$114.25	$126.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $108.89 / $133.29	Facility		$75.80	$108.89	$133.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $111.15 / $139.63	Professional		$55.33	$111.15	$139.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $211.10 / $445.33	Facility		$105.76	$211.10	$445.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $139.63 / $139.63	Professional		$109.17	$139.63	$139.63
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $53.75 / $102.55	Professional		$51.15	$53.75	$102.55