Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $125.33 / $556.28	Professional		$107.97	$125.33	$556.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $138.33	Facility		$138.33	$138.33	$138.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $138.33	Professional		$100.98	$100.98	$138.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $408.38 / $532.62	Professional		$146.26	$408.38	$532.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $171.70 / $208.94	Facility		$125.33	$171.70	$208.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $196.40 / $219.39	Professional		$155.34	$196.40	$219.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $192.80 / $212.08	Facility		$165.85	$192.80	$212.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $208.94 / $208.94	Professional		$188.05	$208.94	$208.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $179.22 / $219.39	Facility		$125.33	$179.22	$219.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $182.95 / $229.83	Professional		$100.98	$182.95	$229.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $347.44 / $733.01	Facility		$174.07	$347.44	$733.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $229.83 / $229.83	Professional		$179.69	$229.83	$229.83
United Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $96.19 / $183.51	Professional		$90.54	$96.19	$183.51