Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $117.13 / $489.37	Professional		$88.03	$117.13	$489.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $359.37 / $468.70	Professional		$136.69	$359.37	$468.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.13 / $160.47 / $195.27	Facility		$117.13	$160.47	$195.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $183.55 / $195.27	Professional		$145.19	$183.55	$195.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $195.27 / $214.80	Facility		$155.00	$195.27	$214.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $195.27 / $203.09	Professional		$175.74	$195.27	$203.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $167.50 / $205.03	Facility		$111.58	$167.50	$205.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $170.98 / $214.80	Professional		$87.64	$170.98	$214.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $324.72 / $685.05	Facility		$162.68	$324.72	$685.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $214.80 / $214.80	Professional		$167.93	$214.80	$214.80
United Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $84.62 / $161.44	Professional		$80.52	$84.62	$161.44