Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $89.78 / $415.60	Professional		$75.00	$89.78	$415.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $83.71	Professional		$61.11	$61.11	$83.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $279.82 / $364.96	Professional		$104.77	$279.82	$364.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $128.38 / $149.66	Facility		$89.78	$128.38	$149.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $142.46 / $157.15	Professional		$113.30	$142.46	$157.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.71 / $149.21 / $164.64	Facility		$145.71	$149.21	$164.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $131.06 / $157.15	Facility		$83.71	$131.06	$157.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $131.06 / $164.64	Professional		$61.11	$131.06	$164.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $248.90 / $525.10	Facility		$124.70	$248.90	$525.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $164.64 / $164.64	Professional		$128.72	$164.64	$164.64
United Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $80.73	Facility		$65.33	$65.33	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $65.92 / $126.35	Professional		$62.73	$65.92	$126.35