Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $63.23 / $108.43	Professional		$57.49	$63.23	$108.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $203.13 / $264.92	Professional		$83.07	$203.13	$264.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $97.53 / $118.67	Facility		$69.65	$97.53	$118.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $111.55 / $124.60	Professional		$88.24	$111.55	$124.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.49 / $105.30 / $118.67	Facility		$93.49	$105.30	$118.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $118.67 / $130.54	Professional		$95.73	$118.67	$130.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $101.16 / $124.60	Facility		$59.45	$101.16	$124.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $103.91 / $130.54	Professional		$45.85	$103.91	$130.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $197.34 / $416.33	Facility		$98.87	$197.34	$416.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $130.54 / $130.54	Professional		$102.06	$130.54	$130.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $47.76 / $91.12	Professional		$44.95	$47.76	$91.12