Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $76.45 / $489.69	Professional		$57.27	$76.45	$489.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $100.74	Professional		$76.06	$76.06	$100.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $269.89 / $352.00	Professional		$89.10	$269.89	$352.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.36 / $104.61 / $130.68	Facility		$76.36	$104.61	$130.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $119.65 / $127.29	Professional		$94.65	$119.65	$127.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $124.31 / $140.02	Facility		$101.04	$124.31	$140.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $127.29 / $127.29	Professional		$101.12	$127.29	$127.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.36 / $109.33 / $133.65	Facility		$76.36	$109.33	$133.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $111.46 / $140.02	Professional		$76.06	$111.46	$140.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.06 / $211.68 / $446.58	Facility		$106.06	$211.68	$446.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $140.02 / $140.02	Professional		$109.47	$140.02	$140.02
United Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $63.50 / $121.16	Professional		$60.43	$63.50	$121.16