Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $83.62 / $402.21	Professional		$58.55	$83.62	$402.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $221.59 / $289.02	Professional		$97.58	$221.59	$289.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.27 / $107.66 / $139.40	Facility		$80.27	$107.66	$139.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $131.04 / $146.37	Professional		$103.65	$131.04	$146.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.10 / $120.01 / $139.40	Facility		$102.10	$120.01	$139.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $139.40 / $144.97	Professional		$104.55	$139.40	$144.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $115.53 / $146.37	Facility		$69.45	$115.53	$146.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $122.07 / $153.34	Professional		$48.45	$122.07	$153.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $231.82 / $489.09	Facility		$116.14	$231.82	$489.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $153.34 / $153.34	Professional		$119.88	$153.34	$153.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $52.16 / $99.97	Professional		$49.10	$52.16	$99.97