Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $81.91 / $466.26	Professional		$57.85	$81.91	$466.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $89.19	Professional		$65.11	$65.11	$89.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $256.39 / $334.40	Professional		$94.27	$256.39	$334.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $112.22 / $134.66	Facility		$81.91	$112.22	$134.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $126.59 / $141.40	Professional		$100.13	$126.59	$141.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.90 / $121.21 / $134.66	Facility		$106.90	$121.21	$134.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $134.66 / $134.66	Professional		$106.90	$134.66	$134.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $115.66 / $141.40	Facility		$81.91	$115.66	$141.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $117.92 / $148.13	Professional		$65.11	$117.92	$148.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.96 / $472.46	Facility		$112.20	$223.96	$472.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $148.13 / $148.13	Professional		$115.82	$148.13	$148.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $60.47 / $115.36	Professional		$57.77	$60.47	$115.36