Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $87.67 / $528.62	Professional		$62.45	$87.67	$528.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $90.07	Professional		$65.75	$65.75	$90.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $305.39 / $398.32	Professional		$100.90	$305.39	$398.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $120.11 / $147.76	Facility		$87.67	$120.11	$147.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $135.49 / $151.35	Professional		$107.17	$135.49	$151.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $140.76 / $158.55	Facility		$114.41	$140.76	$158.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $144.13 / $151.35	Professional		$114.41	$144.13	$151.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $126.22 / $151.35	Facility		$86.66	$126.22	$151.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $126.22 / $158.55	Professional		$65.75	$126.22	$158.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.09 / $239.70 / $505.71	Facility		$120.09	$239.70	$505.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $158.55 / $158.55	Professional		$123.96	$158.55	$158.55
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $71.91 / $137.19	Professional		$68.70	$71.91	$137.19