Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $83.82 / $402.66	Professional		$79.44	$83.82	$402.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $90.28	Professional		$65.90	$65.90	$90.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $295.45 / $385.34	Professional		$97.69	$295.45	$385.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $114.68 / $143.30	Facility		$83.71	$114.68	$143.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $125.60 / $146.54	Professional		$103.77	$125.60	$146.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $139.56 / $153.52	Facility		$110.78	$139.56	$153.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $139.56 / $168.16	Professional		$125.60	$139.56	$168.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $122.20 / $146.54	Facility		$83.71	$122.20	$146.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $122.20 / $153.52	Professional		$65.90	$122.20	$153.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $232.08 / $489.61	Facility		$116.27	$232.08	$489.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $153.52 / $153.52	Professional		$120.02	$153.52	$153.52
United Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $69.62 / $132.83	Professional		$65.54	$69.62	$132.83