Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $76.41 / $367.54	Professional		$41.77	$76.41	$367.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $61.81	Professional		$45.12	$45.12	$61.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $202.42 / $263.99	Professional		$89.17	$202.42	$263.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $98.01 / $127.38	Facility		$70.43	$98.01	$127.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $119.74 / $133.75	Professional		$94.72	$119.74	$133.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.53 / $108.27 / $127.38	Facility		$94.53	$108.27	$127.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $114.64 / $127.38	Professional		$96.80	$114.64	$127.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $104.68 / $133.75	Facility		$61.81	$104.68	$133.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $111.54 / $140.12	Professional		$45.12	$111.54	$140.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $211.84 / $446.90	Facility		$106.13	$211.84	$446.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $140.12 / $140.12	Professional		$109.55	$140.12	$140.12
United Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $47.66 / $90.93	Professional		$45.53	$47.66	$90.93