Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $63.67 / $332.53	Professional		$36.90	$63.67	$332.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $54.02	Professional		$39.43	$39.43	$54.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $183.25 / $238.99	Professional		$74.31	$183.25	$238.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $87.23 / $106.15	Facility		$63.67	$87.23	$106.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $99.78 / $106.15	Professional		$78.91	$99.78	$106.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $95.54 / $106.15	Facility		$84.24	$95.54	$106.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $102.23 / $106.15	Professional		$84.24	$102.23	$106.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $90.46 / $111.46	Facility		$54.02	$90.46	$111.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $92.94 / $116.77	Professional		$39.43	$92.94	$116.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $176.50 / $372.37	Facility		$88.43	$176.50	$372.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $116.77 / $116.77	Professional		$91.29	$116.77	$116.77
United Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $184.42	Facility		$138.31	$138.31	$184.42
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $43.13 / $82.28	Professional		$40.60	$43.13	$82.28