Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $113.04 / $543.71	Professional		$82.88	$113.04	$543.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $107.78	Professional		$78.68	$78.68	$107.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $365.04 / $476.13	Professional		$131.91	$365.04	$476.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $154.86 / $188.45	Facility		$94.42	$154.86	$188.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $177.14 / $197.87	Professional		$140.13	$177.14	$197.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $188.45 / $207.30	Facility		$149.59	$188.45	$207.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $188.45 / $207.30	Professional		$169.61	$188.45	$207.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $161.65 / $197.87	Facility		$107.78	$161.65	$197.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $165.01 / $207.30	Professional		$78.68	$165.01	$207.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $313.38 / $661.13	Facility		$157.00	$313.38	$661.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $207.30 / $207.30	Professional		$162.07	$207.30	$207.30
United Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $85.28 / $110.18	Facility		$85.28	$85.28	$110.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $86.05 / $164.17	Professional		$81.00	$86.05	$164.17