Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $71.26 / $326.32	Professional		$52.40	$71.26	$326.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $70.70	Professional		$51.62	$51.62	$70.70
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 / $86.85 / $113.11	Facility		$67.84	$86.85	$113.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $113.11 / $128.78	Facility		$110.46	$113.11	$128.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Professional		$89.84	$89.84	$89.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $99.04 / $118.77	Facility		$67.84	$99.04	$118.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $99.04 / $124.42	Professional		$51.62	$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 $49.32 / $51.62 / $98.50	Professional		$49.32	$51.62	$98.50