Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $122.94 / $591.32	Professional		$94.96	$122.94	$591.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $140.54	Professional		$102.59	$102.59	$140.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $397.02 / $517.79	Professional		$143.46	$397.02	$517.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $168.43 / $204.94	Facility		$122.94	$168.43	$204.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $192.64 / $215.19	Professional		$152.37	$192.64	$215.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $204.94 / $225.43	Facility		$162.66	$204.94	$225.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $204.94 / $212.23	Professional		$184.45	$204.94	$212.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $175.80 / $215.19	Facility		$122.94	$175.80	$215.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $179.46 / $225.43	Professional		$102.59	$179.46	$225.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.75 / $340.82 / $719.02	Facility		$170.75	$340.82	$719.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $225.43 / $225.43	Professional		$176.25	$225.43	$225.43
United Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $93.57 / $179.34	Professional		$89.04	$93.57	$179.34