Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $141.31 / $778.56	Professional		$103.55	$141.31	$778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.65 / $428.98 / $559.49	Professional		$162.65	$428.98	$559.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $193.59 / $232.35	Facility		$141.31	$193.59	$232.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $218.41 / $243.97	Professional		$172.76	$218.41	$243.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $232.35 / $255.59	Facility		$184.43	$232.35	$255.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $232.35 / $242.72	Professional		$197.50	$232.35	$242.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $202.07 / $243.97	Facility		$141.31	$202.07	$243.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $203.45 / $255.59	Professional		$124.75	$203.45	$255.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $386.38 / $815.14	Facility		$193.58	$386.38	$815.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $255.59 / $255.59	Professional		$199.82	$255.59	$255.59
United Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $100.96 / $192.63	Professional		$96.46	$100.96	$192.63