Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $66.36 / $271.70	Professional		$40.20	$66.36	$271.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $58.84	Professional		$42.95	$42.95	$58.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $199.57 / $260.30	Professional		$77.44	$199.57	$260.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $90.91 / $110.63	Facility		$66.36	$90.91	$110.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $103.99 / $116.16	Professional		$82.26	$103.99	$116.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.95 / $108.04 / $121.69	Facility		$91.95	$108.04	$121.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $94.89 / $116.16	Facility		$56.62	$94.89	$116.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $96.87 / $121.69	Professional		$42.95	$96.87	$121.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $183.98 / $388.12	Facility		$92.17	$183.98	$388.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $121.69 / $121.69	Professional		$95.14	$121.69	$121.69
United Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $46.98 / $89.62	Professional		$44.22	$46.98	$89.62