Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $139.97 / $855.18	Professional		$96.31	$139.97	$855.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $470.86 / $614.15	Professional		$161.10	$470.86	$614.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $191.76 / $234.06	Facility		$139.97	$191.76	$234.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $216.33 / $241.65	Professional		$171.12	$216.33	$241.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.69 / $222.30 / $244.53	Facility		$182.69	$222.30	$244.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $230.14 / $237.04	Professional		$207.13	$230.14	$237.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $200.16 / $241.65	Facility		$139.97	$200.16	$241.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $201.52 / $253.15	Professional		$133.09	$201.52	$253.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.74 / $382.72 / $807.41	Facility		$191.74	$382.72	$807.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $253.15 / $253.15	Professional		$197.92	$253.15	$253.15
United Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $110.90 / $211.59	Professional		$105.96	$110.90	$211.59