Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $93.30 / $448.78	Professional		$72.08	$93.30	$448.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $301.85 / $393.67	Professional		$108.89	$301.85	$393.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $127.82 / $155.55	Facility		$93.30	$127.82	$155.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $146.22 / $163.33	Professional		$115.65	$146.22	$163.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.46 / $155.55 / $171.11	Facility		$123.46	$155.55	$171.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $155.55 / $161.11	Professional		$140.00	$155.55	$161.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $133.41 / $163.33	Facility		$88.96	$133.41	$163.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $136.19 / $171.11	Professional		$64.94	$136.19	$171.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.59 / $258.66 / $545.70	Facility		$129.59	$258.66	$545.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $171.11 / $171.11	Professional		$133.77	$171.11	$171.11
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $71.02 / $135.50	Professional		$66.84	$71.02	$135.50