Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $77.78 / $452.77	Professional		$59.99	$77.78	$452.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $76.68	Professional		$55.98	$55.98	$76.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $183.25 / $238.99	Professional		$60.89	$183.25	$238.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $86.99 / $148.65	Facility		$69.14	$86.99	$148.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $112.19 / $123.82	Professional		$82.64	$112.19	$123.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $117.92 / $131.62	Facility		$86.99	$117.92	$131.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $88.63 / $132.35	Professional		$86.99	$88.63	$132.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $91.34 / $137.53	Facility		$69.14	$91.34	$137.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $100.69 / $130.47	Professional		$55.98	$100.69	$130.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $221.86 / $351.07	Facility		$89.53	$221.86	$351.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $95.69 / $137.54	Professional		$75.68	$95.69	$137.54
United Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $71.01 / $71.77	Facility		$71.01	$71.01	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $71.65 / $112.40	Professional		$64.69	$71.65	$112.40