Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $85.68 / $412.10	Professional		$62.83	$85.68	$412.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $81.70	Professional		$59.64	$59.64	$81.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $276.99 / $361.24	Professional		$99.98	$276.99	$361.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $117.38 / $142.83	Facility		$85.68	$117.38	$142.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $134.26 / $149.97	Professional		$106.19	$134.26	$149.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $142.83 / $157.11	Facility		$113.36	$142.83	$157.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $142.83 / $148.02	Professional		$121.41	$142.83	$148.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $122.52 / $149.97	Facility		$81.70	$122.52	$149.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $125.07 / $157.11	Professional		$59.64	$125.07	$157.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $237.52 / $501.11	Facility		$119.00	$237.52	$501.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $157.11 / $157.11	Professional		$122.83	$157.11	$157.11
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $65.23 / $124.45	Professional		$61.40	$65.23	$124.45