Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $54.15 / $291.86	Professional		$47.62	$54.15	$291.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $71.02	Professional		$51.84	$51.84	$71.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $180.40 / $235.27	Professional		$63.20	$180.40	$235.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $74.19 / $90.28	Facility		$54.15	$74.19	$90.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $83.75 / $90.28	Professional		$67.13	$83.75	$90.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $85.23 / $93.89	Facility		$71.66	$85.23	$93.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $90.28 / $99.31	Professional		$71.66	$90.28	$99.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $77.53 / $94.79	Facility		$54.15	$77.53	$94.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $79.05 / $99.31	Professional		$51.84	$79.05	$99.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $150.12 / $316.72	Facility		$75.20	$150.12	$316.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $99.31 / $99.31	Professional		$77.64	$99.31	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $42.52 / $81.12	Professional		$40.46	$42.52	$81.12