Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $160.54 / $622.00	Professional		$35.00	$160.54	$622.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $142.00	Facility		$142.00	$142.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $142.00	Professional		$103.66	$103.66	$142.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $519.16 / $677.13	Professional		$187.33	$519.16	$677.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.54 / $229.57 / $274.19	Facility		$160.54	$229.57	$274.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $261.35 / $281.00	Professional		$201.97	$261.35	$281.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.35 / $267.62 / $304.88	Facility		$261.35	$267.62	$304.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.54 / $234.34 / $281.00	Facility		$160.54	$234.34	$281.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $234.34 / $294.38	Professional		$103.66	$234.34	$294.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $222.97 / $445.04 / $938.91	Facility		$222.97	$445.04	$938.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $294.38 / $294.38	Professional		$230.15	$294.38	$294.38
United Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $122.20 / $233.14	Professional		$116.75	$122.20	$233.14