Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $61.50 / $295.77	Professional		$45.09	$61.50	$295.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $67.95	Professional		$49.61	$49.61	$67.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $198.86 / $259.37	Professional		$71.76	$198.86	$259.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $84.26 / $102.52	Facility		$61.50	$84.26	$102.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $97.39 / $107.65	Professional		$76.23	$97.39	$107.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $102.52 / $112.77	Facility		$81.39	$102.52	$112.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $102.52 / $106.19	Professional		$87.14	$102.52	$106.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $87.95 / $107.65	Facility		$61.50	$87.95	$107.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $89.77 / $112.77	Professional		$49.61	$89.77	$112.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.41 / $170.48 / $359.67	Facility		$85.41	$170.48	$359.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $112.77 / $112.77	Professional		$88.17	$112.77	$112.77
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $46.81 / $89.72	Professional		$44.54	$46.81	$89.72