Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $116.39 / $417.00	Professional		$108.29	$116.39	$417.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $112.67	Professional		$82.25	$82.25	$112.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $382.10 / $498.35	Professional		$135.81	$382.10	$498.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $159.44 / $194.02	Facility		$116.39	$159.44	$194.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $182.38 / $203.72	Professional		$144.28	$182.38	$203.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $194.02 / $213.42	Facility		$154.04	$194.02	$213.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $194.02 / $200.73	Professional		$174.62	$194.02	$200.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $166.67 / $203.72	Facility		$112.67	$166.67	$203.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $169.89 / $213.42	Professional		$82.25	$169.89	$213.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $322.66 / $680.68	Facility		$161.65	$322.66	$680.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $213.42 / $213.42	Professional		$166.86	$213.42	$213.42
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $89.95 / $171.62	Professional		$84.67	$89.95	$171.62