Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $70.88 / $340.89	Professional		$51.96	$70.88	$340.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $229.41 / $299.19	Professional		$82.71	$229.41	$299.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $97.11 / $118.15	Facility		$70.88	$97.11	$118.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $111.06 / $124.06	Professional		$87.85	$111.06	$124.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $118.15 / $129.97	Facility		$93.78	$118.15	$129.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $118.15 / $122.39	Professional		$106.34	$118.15	$122.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $101.36 / $124.06	Facility		$70.88	$101.36	$124.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $103.46 / $129.97	Professional		$59.35	$103.46	$129.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.44 / $196.48 / $414.52	Facility		$98.44	$196.48	$414.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $129.97 / $129.97	Professional		$101.61	$129.97	$129.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $53.95 / $102.93	Professional		$51.34	$53.95	$102.93