Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $111.84 / $430.00	Professional		$93.00	$111.84	$430.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $106.63	Facility		$106.63	$106.63	$106.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $106.63	Professional		$77.84	$77.84	$106.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $361.50 / $471.48	Professional		$130.50	$361.50	$471.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $153.22 / $186.43	Facility		$111.84	$153.22	$186.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $175.24 / $195.75	Professional		$138.63	$175.24	$195.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $186.43 / $205.07	Facility		$148.00	$186.43	$205.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $186.43 / $193.12	Professional		$167.79	$186.43	$193.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $159.93 / $195.75	Facility		$106.63	$159.93	$195.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $163.25 / $205.07	Professional		$77.84	$163.25	$205.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.33 / $310.04 / $654.08	Facility		$155.33	$310.04	$654.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $205.07 / $205.07	Professional		$160.33	$205.07	$205.07
United Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $85.13 / $162.41	Professional		$80.14	$85.13	$162.41