Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $77.48 / $451.83	Professional		$50.88	$77.48	$451.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $97.44	Professional		$71.13	$71.13	$97.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $248.58 / $324.20	Professional		$89.17	$248.58	$324.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $106.15 / $127.39	Facility		$77.48	$106.15	$127.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $119.75 / $133.76	Professional		$94.72	$119.75	$133.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $117.45 / $129.19	Facility		$101.11	$117.45	$129.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $127.39 / $140.13	Professional		$114.65	$127.39	$140.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $110.80 / $133.76	Facility		$77.48	$110.80	$133.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $111.55 / $140.13	Professional		$71.13	$111.55	$140.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $211.86 / $446.94	Facility		$106.14	$211.86	$446.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $140.13 / $140.13	Professional		$109.56	$140.13	$140.13
United Facility/Professional Facility Modifier Low / Median / High Price $187.92 / $187.92 / $250.56	Facility		$187.92	$187.92	$250.56
United Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $58.60 / $114.69	Professional		$55.98	$58.60	$114.69