Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $93.38 / $443.02	Professional		$66.52	$93.38	$443.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $325.27 / $424.26	Professional		$107.48	$325.27	$424.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.38 / $127.93 / $157.41	Facility		$93.38	$127.93	$157.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $138.19 / $161.22	Professional		$114.16	$138.19	$161.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $153.54 / $204.71	Facility		$121.88	$153.54	$204.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $153.54 / $204.71	Professional		$121.88	$153.54	$204.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $134.44 / $161.22	Facility		$92.31	$134.44	$161.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $134.44 / $168.89	Professional		$72.50	$134.44	$168.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.92 / $255.34 / $538.65	Facility		$127.92	$255.34	$538.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $168.89 / $168.89	Professional		$132.04	$168.89	$168.89
United Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $76.59 / $146.13	Professional		$73.19	$76.59	$146.13