Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $66.52 / $301.00	Professional		$32.44	$66.52	$301.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $68.22	Facility		$68.22	$68.22	$68.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $68.22	Professional		$49.80	$49.80	$68.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.06 / $277.88	Professional		$77.62	$213.06	$277.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $91.13 / $110.89	Facility		$66.52	$91.13	$110.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $104.24 / $110.89	Professional		$82.47	$104.24	$110.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $100.70 / $110.89	Facility		$88.04	$100.70	$110.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $110.89 / $121.98	Professional		$99.80	$110.89	$121.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $95.12 / $116.43	Facility		$66.52	$95.12	$116.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $97.10 / $121.98	Professional		$49.80	$97.10	$121.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $184.42 / $389.04	Facility		$92.39	$184.42	$389.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $121.98 / $121.98	Professional		$95.37	$121.98	$121.98
United Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $50.24 / $95.85	Professional		$47.29	$50.24	$95.85