Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $81.37 / $415.00	Professional		$81.27	$81.37	$415.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $86.88 / $86.88	Facility		$86.88	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $86.88	Professional		$63.42	$63.42	$86.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $286.93 / $374.23	Professional		$94.84	$286.93	$374.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $111.34 / $138.85	Facility		$81.27	$111.34	$138.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $125.69 / $142.26	Professional		$100.74	$125.69	$142.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $135.49 / $180.65	Facility		$107.55	$135.49	$180.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $135.49 / $180.65	Professional		$121.94	$135.49	$180.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $118.64 / $142.26	Facility		$81.27	$118.64	$142.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $118.64 / $149.04	Professional		$63.42	$118.64	$149.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $225.30 / $475.34	Facility		$112.88	$225.30	$475.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $149.04 / $149.04	Professional		$116.52	$149.04	$149.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $67.59 / $128.96	Professional		$64.31	$67.59	$128.96