Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $105.89 / $615.34	Professional		$77.62	$105.89	$615.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $373.57 / $487.24	Professional		$123.40	$373.57	$487.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.75 / $148.16 / $181.17	Facility		$105.75	$148.16	$181.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $163.55 / $185.10	Professional		$131.08	$163.55	$185.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $176.29 / $235.06	Facility		$139.94	$176.29	$235.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $176.29 / $235.06	Professional		$158.66	$176.29	$235.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.75 / $151.41 / $185.10	Facility		$105.75	$151.41	$185.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $154.37 / $193.92	Professional		$80.42	$154.37	$193.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $293.18 / $618.50	Facility		$146.88	$293.18	$618.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $193.92 / $193.92	Professional		$151.61	$193.92	$193.92
United Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $87.95 / $167.80	Professional		$83.69	$87.95	$167.80