Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $108.13 / $434.62	Professional		$60.83	$108.13	$434.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $286.20 / $373.29	Professional		$126.18	$286.20	$373.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $138.85 / $180.26	Facility		$108.13	$138.85	$180.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $169.44 / $189.27	Professional		$134.03	$169.44	$189.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.03 / $162.22 / $180.26	Facility		$132.03	$162.22	$180.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $180.26 / $198.29	Professional		$135.19	$180.26	$198.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $153.66 / $189.27	Facility		$100.24	$153.66	$189.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $157.84 / $198.29	Professional		$82.02	$157.84	$198.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $299.76 / $632.40	Facility		$150.18	$299.76	$632.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $198.29 / $198.29	Professional		$155.02	$198.29	$198.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $67.45 / $128.68	Professional		$63.49	$67.45	$128.68