Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $58.75 / $74.03	Professional		$58.69	$58.75	$74.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $72.18	Professional		$52.69	$52.69	$72.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $207.38 / $270.48	Professional		$68.48	$207.38	$270.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.69 / $80.41 / $100.24	Facility		$58.69	$80.41	$100.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $91.96 / $102.72	Professional		$72.73	$91.96	$102.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $97.83 / $130.44	Facility		$77.65	$97.83	$130.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $97.83 / $130.44	Professional		$88.05	$97.83	$130.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.69 / $85.67 / $102.72	Facility		$58.69	$85.67	$102.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $85.67 / $107.61	Professional		$52.69	$85.67	$107.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $162.69 / $343.25	Facility		$81.51	$162.69	$343.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $107.61 / $107.61	Professional		$84.13	$107.61	$107.61
United Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $48.81 / $93.12	Professional		$46.45	$48.81	$93.12