Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $84.70 / $533.54	Professional		$59.22	$84.70	$533.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $294.02 / $383.49	Professional		$98.84	$294.02	$383.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $120.36 / $142.56	Facility		$84.70	$120.36	$142.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $132.72 / $148.26	Professional		$104.98	$132.72	$148.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $141.19 / $184.93	Facility		$112.08	$141.19	$184.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $141.19 / $184.93	Professional		$127.08	$141.19	$184.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $123.64 / $148.26	Facility		$84.70	$123.64	$148.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $123.64 / $155.32	Professional		$63.26	$123.64	$155.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $234.82 / $495.38	Facility		$117.64	$234.82	$495.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $155.32 / $155.32	Professional		$121.43	$155.32	$155.32
United Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $69.19 / $132.62	Professional		$65.13	$69.19	$132.62