Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $110.85 / $533.16	Professional		$62.35	$110.85	$533.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $293.32 / $382.56	Professional		$129.35	$293.32	$382.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $142.56 / $184.79	Facility		$103.95	$142.56	$184.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $173.70 / $194.03	Professional		$137.40	$173.70	$194.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $165.47 / $184.79	Facility		$146.68	$165.47	$184.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $175.55 / $184.79	Professional		$150.43	$175.55	$184.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $151.86 / $194.03	Facility		$89.65	$151.86	$194.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $161.81 / $203.27	Professional		$65.44	$161.81	$203.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.96 / $307.30 / $648.30	Facility		$153.96	$307.30	$648.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $203.27 / $203.27	Professional		$158.91	$203.27	$203.27
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $69.14 / $131.91	Professional		$65.80	$69.14	$131.91