Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $70.20 / $337.70	Professional		$49.97	$70.20	$337.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $55.27	Professional		$55.27	$55.27	$55.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $223.02 / $290.86	Professional		$81.93	$223.02	$290.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $99.76 / $117.04	Facility		$70.20	$99.76	$117.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $111.19 / $122.89	Professional		$87.02	$111.19	$122.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $114.30 / $128.74	Facility		$105.34	$114.30	$128.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $92.97 / $92.97	Professional		$92.97	$92.97	$92.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $102.48 / $122.89	Facility		$70.20	$102.48	$122.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $102.48 / $128.74	Professional		$55.27	$102.48	$128.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.51 / $194.64 / $410.60	Facility		$97.51	$194.64	$410.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $128.74 / $128.74	Professional		$100.65	$128.74	$128.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $52.55 / $100.26	Professional		$50.20	$52.55	$100.26