Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $95.39 / $540.00	Professional		$74.67	$95.39	$540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $117.36	Professional		$85.67	$85.67	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $319.58 / $416.83	Professional		$111.32	$319.58	$416.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $130.68 / $159.03	Facility		$95.39	$130.68	$159.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $149.49 / $166.98	Professional		$118.25	$149.49	$166.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $150.94 / $168.57	Facility		$126.24	$150.94	$168.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $159.03 / $174.93	Professional		$143.13	$159.03	$174.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $136.41 / $166.98	Facility		$95.39	$136.41	$166.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $139.25 / $174.93	Professional		$85.67	$139.25	$174.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $264.45 / $557.91	Facility		$132.49	$264.45	$557.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $174.93 / $174.93	Professional		$136.77	$174.93	$174.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $75.31 / $143.66	Professional		$70.88	$75.31	$143.66