Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $81.47 / $474.42	Professional		$55.49	$81.47	$474.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $261.36 / $340.89	Professional		$86.32	$261.36	$340.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $101.35 / $126.97	Facility		$73.98	$101.35	$126.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $115.92 / $129.49	Professional		$91.69	$115.92	$129.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $123.32 / $164.43	Facility		$97.89	$123.32	$164.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $123.32 / $164.43	Professional		$110.99	$123.32	$164.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $107.99 / $129.49	Facility		$73.98	$107.99	$129.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $107.99 / $135.65	Professional		$58.23	$107.99	$135.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $205.08 / $432.67	Facility		$102.75	$205.08	$432.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $135.65 / $135.65	Professional		$106.06	$135.65	$135.65
United Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $61.52 / $117.38	Professional		$58.55	$61.52	$117.38