Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $68.84 / $389.99	Professional		$51.67	$68.84	$389.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $87.42	Professional		$63.82	$63.82	$87.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $214.49 / $279.75	Professional		$80.34	$214.49	$279.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $94.32 / $114.77	Facility		$68.84	$94.32	$114.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $107.88 / $120.51	Professional		$85.32	$107.88	$120.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $103.29 / $114.77	Facility		$91.08	$103.29	$114.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $103.29 / $114.77	Professional		$101.38	$103.29	$114.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $98.46 / $120.51	Facility		$68.84	$98.46	$120.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $100.50 / $126.25	Professional		$63.82	$100.50	$126.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $190.86 / $402.66	Facility		$95.62	$190.86	$402.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $126.25 / $126.25	Professional		$98.70	$126.25	$126.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $50.57 / $96.49	Professional		$48.13	$50.57	$96.49