Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $135.63 / $868.78	Professional		$96.42	$135.63	$868.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $141.12	Professional		$103.02	$103.02	$141.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $478.68 / $624.32	Professional		$158.09	$478.68	$624.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $185.61 / $231.66	Facility		$135.47	$185.61	$231.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $212.29 / $237.13	Professional		$167.92	$212.29	$237.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $225.84 / $258.24	Facility		$179.26	$225.84	$258.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $225.84 / $258.24	Professional		$191.96	$225.84	$258.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $197.75 / $237.13	Facility		$135.47	$197.75	$237.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $197.75 / $248.42	Professional		$103.02	$197.75	$248.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $188.16 / $375.56 / $792.31	Facility		$188.16	$375.56	$792.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $248.42 / $248.42	Professional		$194.22	$248.42	$248.42
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $112.67 / $214.95	Professional		$107.21	$112.67	$214.95