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 $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $69.65	Professional		$50.84	$50.84	$69.65
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 / $103.78	Professional		$90.23	$100.25	$103.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.13 / $85.99 / $105.26	Facility		$60.13	$85.99	$105.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $87.78 / $110.28	Professional		$50.84	$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 Professional Modifier Low / Median / High Price $43.08 / $45.77 / $87.32	Professional		$43.08	$45.77	$87.32