Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $62.63 / $331.52	Professional		$48.26	$62.63	$331.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $53.85	Professional		$39.31	$39.31	$53.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $182.53 / $238.05	Professional		$73.09	$182.53	$238.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $83.30 / $104.41	Facility		$49.85	$83.30	$104.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $101.96 / $114.85	Facility		$84.16	$101.96	$114.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $82.95 / $82.95	Professional		$82.95	$82.95	$82.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $91.43 / $109.63	Facility		$53.85	$91.43	$109.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $91.43 / $114.85	Professional		$39.31	$91.43	$114.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $173.64 / $366.32	Facility		$86.99	$173.64	$366.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $114.85 / $114.85	Professional		$89.79	$114.85	$114.85
United Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $43.00 / $82.03	Professional		$41.08	$43.00	$82.03