Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $170.11 / $613.64	Professional		$95.69	$170.11	$613.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $450.29 / $587.27	Professional		$198.51	$450.29	$587.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.51 / $218.30 / $283.58	Facility		$159.51	$218.30	$283.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.76 / $263.08 / $297.76	Professional		$208.76	$263.08	$297.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $255.22 / $283.58	Facility		$225.10	$255.22	$283.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $283.58 / $289.25	Professional		$233.28	$283.58	$289.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $241.73 / $297.76	Facility		$150.11	$241.73	$297.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $248.31 / $311.94	Professional		$109.58	$248.31	$311.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $471.58 / $994.88	Facility		$236.26	$471.58	$994.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $311.94 / $311.94	Professional		$243.88	$311.94	$311.94
United Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $106.10 / $202.44	Professional		$99.88	$106.10	$202.44