Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $89.90 / $426.46	Professional		$65.95	$89.90	$426.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $286.20 / $373.29	Professional		$103.47	$286.20	$373.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $123.16 / $147.81	Facility		$89.90	$123.16	$147.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $138.94 / $155.19	Professional		$109.89	$138.94	$155.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $147.81 / $162.59	Facility		$117.30	$147.81	$162.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $147.81 / $153.08	Professional		$133.03	$147.81	$153.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $123.16 / $162.59	Facility		$89.90	$123.16	$162.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $129.43 / $162.59	Professional		$71.65	$129.43	$162.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.15 / $245.80 / $518.57	Facility		$123.15	$245.80	$518.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $162.59 / $162.59	Professional		$127.12	$162.59	$162.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $67.48 / $128.76	Professional		$64.48	$67.48	$128.76