Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $63.57 / $407.17	Professional		$46.97	$63.57	$407.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $68.45	Professional		$49.98	$49.98	$68.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $224.42 / $292.70	Professional		$74.09	$224.42	$292.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $86.98 / $108.41	Facility		$63.49	$86.98	$108.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $99.49 / $111.13	Professional		$78.70	$99.49	$111.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $105.84 / $141.12	Facility		$84.01	$105.84	$141.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $105.84 / $141.12	Professional		$95.26	$105.84	$141.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $92.68 / $111.13	Facility		$63.49	$92.68	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $92.68 / $116.42	Professional		$49.98	$92.68	$116.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $176.00 / $371.33	Facility		$88.18	$176.00	$371.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $116.42 / $116.42	Professional		$91.02	$116.42	$116.42
United Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $169.34 / $225.79	Facility		$169.34	$169.34	$225.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.80 / $100.74	Professional		$50.45	$52.80	$100.74