Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $59.09 / $283.88	Professional		$49.89	$59.09	$283.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $61.48	Professional		$44.88	$44.88	$61.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $208.10 / $271.41	Professional		$68.87	$208.10	$271.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $80.86 / $100.98	Facility		$59.02	$80.86	$100.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $92.48 / $98.38	Professional		$73.15	$92.48	$98.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $98.38 / $108.22	Facility		$78.09	$98.38	$108.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $98.38 / $101.90	Professional		$88.54	$98.38	$101.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $84.50 / $103.30	Facility		$59.02	$84.50	$103.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $86.15 / $108.22	Professional		$44.88	$86.15	$108.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $163.62 / $345.17	Facility		$81.97	$163.62	$345.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $108.22 / $108.22	Professional		$84.61	$108.22	$108.22
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $49.09 / $94.08	Professional		$46.20	$49.09	$94.08