Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $122.07 / $689.21	Professional		$82.01	$122.07	$689.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $111.95	Professional		$81.72	$81.72	$111.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $379.25 / $494.64	Professional		$142.44	$379.25	$494.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $167.24 / $203.50	Facility		$122.07	$167.24	$203.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $191.29 / $213.68	Professional		$151.31	$191.29	$213.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $183.15 / $203.50	Facility		$161.53	$183.15	$203.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $197.08 / $203.50	Professional		$179.16	$197.08	$203.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $174.56 / $213.68	Facility		$111.95	$174.56	$213.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $178.19 / $223.85	Professional		$81.72	$178.19	$223.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $338.40 / $713.94	Facility		$169.54	$338.40	$713.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $223.85 / $223.85	Professional		$175.01	$223.85	$223.85
United Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $89.38 / $170.53	Professional		$85.05	$89.38	$170.53