Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $154.41 / $577.13	Professional		$92.57	$154.41	$577.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $142.94	Professional		$104.35	$104.35	$142.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $424.01 / $553.00	Professional		$180.19	$424.01	$553.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $205.67 / $257.41	Facility		$150.02	$205.67	$257.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $241.97 / $257.41	Professional		$191.39	$241.97	$257.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $253.81 / $283.14	Facility		$204.33	$253.81	$283.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $257.41 / $267.70	Professional		$218.80	$257.41	$267.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $219.42 / $270.27	Facility		$142.94	$219.42	$270.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $225.40 / $283.14	Professional		$104.35	$225.40	$283.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.46 / $428.06 / $903.09	Facility		$214.46	$428.06	$903.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $283.14 / $283.14	Professional		$221.37	$283.14	$283.14
United Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $99.79 / $190.39	Professional		$93.93	$99.79	$190.39