Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $119.05 / $752.99	Professional		$87.08	$119.05	$752.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $122.31	Professional		$89.29	$89.29	$122.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $414.77 / $540.96	Professional		$137.01	$414.77	$540.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.05 / $163.94 / $201.22	Facility		$119.05	$163.94	$201.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $183.99 / $205.52	Professional		$145.54	$183.99	$205.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $195.73 / $237.97	Facility		$155.38	$195.73	$237.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $195.73 / $237.97	Professional		$155.38	$195.73	$237.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $171.39 / $205.52	Facility		$117.68	$171.39	$205.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $171.39 / $215.30	Professional		$89.29	$171.39	$215.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.08 / $325.50 / $686.69	Facility		$163.08	$325.50	$686.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $215.30 / $215.30	Professional		$168.33	$215.30	$215.30
United Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $97.65 / $186.30	Professional		$93.30	$97.65	$186.30