Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $113.93 / $547.98	Professional		$83.53	$113.93	$547.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $98.57	Professional		$94.64	$94.64	$98.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $367.89 / $479.82	Professional		$132.94	$367.89	$479.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $156.08 / $189.93	Facility		$95.15	$156.08	$189.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $178.53 / $199.43	Professional		$141.22	$178.53	$199.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.76 / $189.93 / $208.92	Facility		$150.76	$189.93	$208.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $189.93 / $196.70	Professional		$150.88	$189.93	$196.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $162.91 / $199.43	Facility		$113.93	$162.91	$199.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $166.31 / $208.92	Professional		$94.64	$166.31	$208.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $315.83 / $666.34	Facility		$158.24	$315.83	$666.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $208.92 / $208.92	Professional		$163.34	$208.92	$208.92
United Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $86.72 / $165.45	Professional		$82.85	$86.72	$165.45