Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $87.19 / $532.23	Professional		$61.98	$87.19	$532.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $307.52 / $401.10	Professional		$101.62	$307.52	$401.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $119.30 / $149.24	Facility		$87.08	$119.30	$149.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $136.46 / $152.43	Professional		$107.94	$136.46	$152.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.24 / $144.99 / $159.69	Facility		$115.24	$144.99	$159.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $145.16 / $148.47	Professional		$130.65	$145.16	$148.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $127.12 / $152.43	Facility		$87.08	$127.12	$152.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $127.12 / $159.69	Professional		$73.31	$127.12	$159.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $241.42 / $509.32	Facility		$120.95	$241.42	$509.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $159.69 / $159.69	Professional		$124.85	$159.69	$159.69
United Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $72.43 / $138.18	Professional		$68.17	$72.43	$138.18