Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $106.99 / $606.35	Professional		$76.08	$106.99	$606.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $113.00	Professional		$82.49	$82.49	$113.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $372.15 / $485.37	Professional		$123.13	$372.15	$485.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $146.58 / $185.09	Facility		$106.99	$146.58	$185.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $165.35 / $175.90	Professional		$130.81	$165.35	$175.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $175.90 / $220.00	Facility		$139.65	$175.90	$220.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $175.90 / $220.00	Professional		$158.31	$175.90	$220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $154.03 / $184.70	Facility		$106.99	$154.03	$184.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $154.03 / $193.49	Professional		$82.49	$154.03	$193.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.56 / $292.54 / $617.14	Facility		$146.56	$292.54	$617.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $193.49 / $193.49	Professional		$151.27	$193.49	$193.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $87.61 / $167.91	Professional		$83.70	$87.61	$167.91