Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $126.11 / $807.75	Professional		$89.64	$126.11	$807.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $444.59 / $579.88	Professional		$146.97	$444.59	$579.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $172.57 / $215.33	Facility		$125.96	$172.57	$215.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $197.37 / $220.47	Professional		$156.12	$197.37	$220.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $209.97 / $279.95	Facility		$166.68	$209.97	$279.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $209.97 / $279.95	Professional		$166.81	$209.97	$279.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $183.86 / $220.47	Facility		$125.96	$183.86	$220.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $183.86 / $230.97	Professional		$101.95	$183.86	$230.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $349.18 / $736.65	Facility		$174.94	$349.18	$736.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $230.97 / $230.97	Professional		$180.57	$230.97	$230.97
United Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $104.75 / $199.85	Professional		$98.60	$104.75	$199.85