Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $127.66 / $768.74	Professional		$91.14	$127.66	$768.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $423.30 / $552.07	Professional		$146.91	$423.30	$552.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $174.89 / $210.82	Facility		$127.66	$174.89	$210.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $197.30 / $220.38	Professional		$156.07	$197.30	$220.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $203.44 / $223.78	Facility		$166.61	$203.44	$223.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $209.89 / $209.89	Professional		$203.44	$209.89	$209.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $182.55 / $220.38	Facility		$127.66	$182.55	$220.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $183.79 / $230.88	Professional		$125.82	$183.79	$230.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $349.04 / $736.37	Facility		$174.87	$349.04	$736.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $230.88 / $230.88	Professional		$180.51	$230.88	$230.88
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $131.74 / $135.19	Facility		$131.74	$131.74	$135.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $99.69 / $190.20	Professional		$95.25	$99.69	$190.20