Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $67.17 / $397.25	Professional		$46.46	$67.17	$397.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $75.47	Professional		$55.09	$55.09	$75.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $218.74 / $285.30	Professional		$78.38	$218.74	$285.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $92.02 / $111.97	Facility		$67.17	$92.02	$111.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $105.25 / $117.57	Professional		$83.27	$105.25	$117.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $109.35 / $122.69	Facility		$88.89	$109.35	$122.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $111.97 / $122.69	Professional		$88.89	$111.97	$122.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $96.05 / $117.57	Facility		$67.17	$96.05	$117.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $98.05 / $123.17	Professional		$55.09	$98.05	$123.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $186.20 / $392.85	Facility		$93.29	$186.20	$392.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $123.17 / $123.17	Professional		$96.29	$123.17	$123.17
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $51.52 / $98.29	Professional		$49.03	$51.52	$98.29