Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $92.90 / $443.40	Professional		$71.23	$92.90	$443.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $297.57 / $388.12	Professional		$107.58	$297.57	$388.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $126.30 / $153.68	Facility		$92.19	$126.30	$153.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $144.46 / $161.36	Professional		$114.27	$144.46	$161.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.99 / $153.68 / $169.05	Facility		$121.99	$153.68	$169.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $153.68 / $159.11	Professional		$138.31	$153.68	$159.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $131.83 / $161.36	Facility		$88.85	$131.83	$161.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $134.57 / $169.05	Professional		$64.86	$134.57	$169.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $255.56 / $539.16	Facility		$128.04	$255.56	$539.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $169.05 / $169.05	Professional		$132.16	$169.05	$169.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $70.16 / $134.47	Professional		$66.04	$70.16	$134.47