Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $91.79 / $435.45	Professional		$67.34	$91.79	$435.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $292.60 / $381.62	Professional		$105.64	$292.60	$381.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $125.75 / $150.91	Facility		$91.79	$125.75	$150.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $141.86 / $158.47	Professional		$112.21	$141.86	$158.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $150.91 / $166.01	Facility		$119.79	$150.91	$166.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $150.91 / $156.33	Professional		$119.79	$150.91	$156.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $131.26 / $158.47	Facility		$91.79	$131.26	$158.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $132.15 / $166.01	Professional		$73.02	$132.15	$166.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $250.98 / $529.47	Facility		$125.74	$250.98	$529.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $166.01 / $166.01	Professional		$129.79	$166.01	$166.01
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $68.92 / $131.47	Professional		$65.84	$68.92	$131.47