Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $116.39 / $403.13	Professional		$112.90	$116.39	$403.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $127.07 / $127.07	Facility		$127.07	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $92.76	Professional		$92.76	$92.76	$92.76
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 / $170.06 / $213.42	Facility		$116.39	$170.06	$213.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $189.47 / $203.72	Professional		$146.87	$189.47	$203.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.47 / $194.02 / $220.80	Facility		$189.47	$194.02	$220.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $154.15	Professional		$154.15	$154.15	$154.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $169.89 / $203.72	Facility		$116.39	$169.89	$203.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $169.89 / $213.42	Professional		$92.76	$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 $85.94 / $89.95 / $171.62	Professional		$85.94	$89.95	$171.62