Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $125.36 / $695.70	Professional		$83.42	$125.36	$695.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $126.98	Professional		$92.70	$92.70	$126.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $407.66 / $531.69	Professional		$144.28	$407.66	$531.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $172.50 / $206.12	Facility		$125.36	$172.50	$206.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $193.75 / $216.43	Professional		$153.25	$193.75	$216.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $193.74 / $213.11	Facility		$163.60	$193.74	$213.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $206.12 / $206.12	Professional		$185.51	$206.12	$206.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $179.26 / $216.43	Facility		$125.36	$179.26	$216.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $180.49 / $226.73	Professional		$92.70	$180.49	$226.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.73 / $342.78 / $723.15	Facility		$171.73	$342.78	$723.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $226.73 / $226.73	Professional		$177.26	$226.73	$226.73
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $96.06 / $188.03	Professional		$91.78	$96.06	$188.03