Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $135.55 / $785.33	Professional		$88.44	$135.55	$785.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $432.52 / $564.12	Professional		$156.01	$432.52	$564.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $185.70 / $222.87	Facility		$135.55	$185.70	$222.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $209.50 / $234.01	Professional		$165.72	$209.50	$234.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.91 / $217.65 / $239.94	Facility		$176.91	$217.65	$239.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $200.58 / $222.87 / $245.16	Professional		$200.58	$222.87	$245.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $195.15 / $234.01	Facility		$135.55	$195.15	$234.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $195.15 / $245.16	Professional		$124.21	$195.15	$245.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.68 / $370.62 / $781.89	Facility		$185.68	$370.62	$781.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $245.16 / $245.16	Professional		$191.67	$245.16	$245.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $101.84 / $194.31	Professional		$97.30	$101.84	$194.31