Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $105.86 / $621.51	Professional		$80.39	$105.86	$621.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $110.15	Professional		$80.41	$80.41	$110.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $373.57 / $487.24	Professional		$123.39	$373.57	$487.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.74 / $144.86 / $181.17	Facility		$105.74	$144.86	$181.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $165.69 / $185.08	Professional		$131.06	$165.69	$185.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $176.27 / $209.43	Facility		$139.91	$176.27	$209.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $176.27 / $209.43	Professional		$158.63	$176.27	$209.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.74 / $151.38 / $185.08	Facility		$105.74	$151.38	$185.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $154.35 / $193.90	Professional		$80.41	$154.35	$193.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.86 / $293.12 / $618.41	Facility		$146.86	$293.12	$618.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $193.90 / $193.90	Professional		$151.59	$193.90	$193.90
United Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $87.94 / $167.78	Professional		$83.68	$87.94	$167.78