Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $156.01 / $634.41	Professional		$99.65	$156.01	$634.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $175.58	Professional		$128.16	$128.16	$175.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $441.76 / $576.16	Professional		$179.56	$441.76	$576.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $213.73 / $256.51	Facility		$156.01	$213.73	$256.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $241.12 / $269.33	Professional		$190.73	$241.12	$269.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.61 / $234.33 / $257.76	Facility		$203.61	$234.33	$257.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $230.86 / $256.51 / $256.51	Professional		$230.86	$256.51	$256.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.49 / $218.66 / $269.33	Facility		$155.49	$218.66	$269.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $224.61 / $282.16	Professional		$128.16	$224.61	$282.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $426.56 / $899.92	Facility		$213.71	$426.56	$899.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.60 / $282.16 / $282.16	Professional		$220.60	$282.16	$282.16
United Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $104.02 / $198.46	Professional		$99.38	$104.02	$198.46