Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $99.69 / $580.50	Professional		$67.89	$99.69	$580.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $319.58 / $416.83	Professional		$105.63	$319.58	$416.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $124.01 / $155.18	Facility		$90.52	$124.01	$155.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.85 / $158.44	Professional		$112.20	$141.85	$158.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $150.90 / $201.20	Facility		$119.79	$150.90	$201.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $158.44 / $201.20	Professional		$135.81	$158.44	$201.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $129.60 / $158.44	Facility		$90.52	$129.60	$158.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $132.13 / $165.99	Professional		$71.39	$132.13	$165.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.72 / $250.94 / $529.39	Facility		$125.72	$250.94	$529.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $165.99 / $165.99	Professional		$129.77	$165.99	$165.99
United Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $74.61 / $96.39	Facility		$74.61	$74.61	$96.39
United Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $75.28 / $144.29	Professional		$70.86	$75.28	$144.29