Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $67.84 / $326.32	Professional		$52.40	$67.84	$326.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $64.66	Professional		$47.20	$47.20	$64.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $219.45 / $286.24	Professional		$79.18	$219.45	$286.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $92.95 / $113.11	Facility		$67.84	$92.95	$113.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $106.32 / $118.77	Professional		$84.08	$106.32	$118.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $113.11 / $124.42	Facility		$89.76	$113.11	$124.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $113.11 / $124.42	Professional		$101.80	$113.11	$124.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $97.03 / $118.77	Facility		$64.66	$97.03	$118.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $99.04 / $124.42	Professional		$47.20	$99.04	$124.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $188.08 / $396.81	Facility		$94.23	$188.08	$396.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $124.42 / $124.42	Professional		$97.27	$124.42	$124.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $51.62 / $98.95	Professional		$48.59	$51.62	$98.95