Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $113.84 / $613.53	Professional		$69.09	$113.84	$613.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $99.66	Professional		$72.75	$72.75	$99.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $338.05 / $440.92	Professional		$131.03	$338.05	$440.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $155.96 / $187.18	Facility		$113.84	$155.96	$187.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $175.95 / $196.54	Professional		$139.16	$175.95	$196.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.58 / $168.46 / $196.54	Facility		$148.58	$168.46	$196.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $187.18 / $205.90	Professional		$165.04	$187.18	$205.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $160.75 / $196.54	Facility		$95.89	$160.75	$196.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $163.90 / $205.90	Professional		$72.75	$163.90	$205.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $311.27 / $656.68	Facility		$155.94	$311.27	$656.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $205.90 / $205.90	Professional		$160.97	$205.90	$205.90
United Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $79.56 / $151.80	Professional		$76.02	$79.56	$151.80