Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $112.67 / $541.91	Professional		$55.36	$112.67	$541.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Facility		$107.42	$107.42	$107.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $107.42	Professional		$78.42	$78.42	$107.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $364.33 / $475.19	Professional		$131.47	$364.33	$475.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $154.36 / $187.82	Facility		$112.67	$154.36	$187.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $176.55 / $197.21	Professional		$139.65	$176.55	$197.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $187.82 / $213.95	Facility		$169.04	$187.82	$213.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $161.12 / $197.21	Facility		$107.42	$161.12	$197.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $164.46 / $206.60	Professional		$78.42	$164.46	$206.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $312.33 / $658.93	Facility		$156.47	$312.33	$658.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $206.60 / $206.60	Professional		$161.53	$206.60	$206.60
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.90	Facility		$85.00	$85.00	$85.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $85.76 / $163.62	Professional		$81.61	$85.76	$163.62