Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $90.99 / $481.88	Professional		$84.85	$90.99	$481.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $321.02 / $418.70	Professional		$106.06	$321.02	$418.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $124.52 / $155.93	Facility		$90.89	$124.52	$155.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $142.41 / $151.51	Professional		$112.65	$142.41	$151.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $147.96 / $166.66	Facility		$120.26	$147.96	$166.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $151.51 / $151.51	Professional		$120.26	$151.51	$151.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $132.63 / $159.09	Facility		$90.89	$132.63	$159.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.66 / $166.66	Professional		$96.83	$132.66	$166.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $251.96 / $531.55	Facility		$126.23	$251.96	$531.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $166.66 / $166.66	Professional		$130.30	$166.66	$166.66
United Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $75.59 / $144.88	Professional		$71.93	$75.59	$144.88