Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $123.69 / $599.20	Professional		$82.98	$123.69	$599.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $119.29	Professional		$87.08	$87.08	$119.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $404.10 / $527.07	Professional		$144.33	$404.10	$527.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $169.46 / $206.19	Facility		$123.69	$169.46	$206.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $193.82 / $216.50	Professional		$153.32	$193.82	$216.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $190.90 / $209.99	Facility		$163.68	$190.90	$209.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $206.19 / $206.19	Professional		$185.57	$206.19	$206.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $176.88 / $216.50	Facility		$119.29	$176.88	$216.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $180.55 / $226.81	Professional		$87.08	$180.55	$226.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.79 / $342.90 / $723.39	Facility		$171.79	$342.90	$723.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $226.81 / $226.81	Professional		$177.32	$226.81	$226.81
United Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $95.24 / $181.70	Professional		$90.63	$95.24	$181.70