Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $168.08 / $984.58	Professional		$117.08	$168.08	$984.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $159.91	Professional		$116.74	$116.74	$159.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $541.90 / $706.75	Professional		$196.15	$541.90	$706.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.08 / $230.27 / $280.20	Facility		$168.08	$230.27	$280.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $263.39 / $294.22	Professional		$208.34	$263.39	$294.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.41 / $268.56 / $295.42	Facility		$222.41	$268.56	$295.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $280.20 / $280.20	Professional		$238.18	$280.20	$280.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $245.36 / $294.22	Facility		$159.91	$245.36	$294.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $245.36 / $308.23	Professional		$116.74	$245.36	$308.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $465.96 / $983.06	Facility		$233.45	$465.96	$983.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $308.23 / $308.23	Professional		$240.98	$308.23	$308.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $127.68 / $244.72	Professional		$120.19	$127.68	$244.72