Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $78.13 / $370.67	Professional		$41.75	$78.13	$370.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $60.21	Professional		$43.95	$43.95	$60.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $203.82 / $265.86	Professional		$89.93	$203.82	$265.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $98.75 / $128.47	Facility		$72.26	$98.75	$128.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $120.76 / $134.88	Professional		$95.52	$120.76	$134.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $115.49 / $128.47	Facility		$101.98	$115.49	$128.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $128.47 / $128.47	Professional		$104.99	$128.47	$128.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $109.51 / $134.88	Facility		$64.37	$109.51	$134.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $112.49 / $141.32	Professional		$43.95	$112.49	$141.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $213.64 / $450.70	Facility		$107.03	$213.64	$450.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $141.32 / $141.32	Professional		$110.48	$141.32	$141.32
United Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $48.07 / $91.71	Professional		$45.74	$48.07	$91.71