Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $60.13 / $289.22	Professional		$44.08	$60.13	$289.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Professional		$41.84	$41.84	$41.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $194.60 / $253.81	Professional		$70.18	$194.60	$253.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $82.38 / $100.25	Facility		$50.21	$82.38	$100.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $94.24 / $105.26	Professional		$74.53	$94.24	$105.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $100.25 / $110.28	Facility		$79.55	$100.25	$110.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $100.25 / $114.16	Professional		$90.23	$100.25	$114.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $85.99 / $105.26	Facility		$57.32	$85.99	$105.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $87.78 / $110.28	Professional		$41.84	$87.78	$110.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $166.70 / $351.70	Facility		$83.52	$166.70	$351.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $110.28 / $110.28	Professional		$86.22	$110.28	$110.28
United Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $146.78 / $195.71	Facility		$146.78	$146.78	$195.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $45.77 / $87.32	Professional		$43.73	$45.77	$87.32