Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $82.63 / $462.31	Professional		$54.06	$82.63	$462.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $254.26 / $331.62	Professional		$96.43	$254.26	$331.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.63 / $113.20 / $137.75	Facility		$82.63	$113.20	$137.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $129.49 / $144.63	Professional		$102.43	$129.49	$144.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $131.80 / $144.97	Facility		$109.35	$131.80	$144.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $137.75 / $137.75	Professional		$123.98	$137.75	$137.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $118.16 / $144.63	Facility		$72.95	$118.16	$144.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $120.62 / $151.53	Professional		$54.82	$120.62	$151.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $229.08 / $483.28	Facility		$114.77	$229.08	$483.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $151.53 / $151.53	Professional		$118.47	$151.53	$151.53
United Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $59.95 / $114.38	Professional		$57.05	$59.95	$114.38