Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $76.50 / $389.51	Professional		$49.90	$76.50	$389.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $66.22	Professional		$48.34	$48.34	$66.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $214.49 / $279.75	Professional		$88.05	$214.49	$279.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $103.95 / $125.78	Facility		$76.50	$103.95	$125.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $118.23 / $132.07	Professional		$93.53	$118.23	$132.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.85 / $115.52 / $127.07	Facility		$99.85	$115.52	$127.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $119.49 / $125.78	Professional		$113.20	$119.49	$125.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $107.07 / $132.07	Facility		$63.02	$107.07	$132.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $110.14 / $138.36	Professional		$48.34	$110.14	$138.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.80 / $209.18 / $441.29	Facility		$104.80	$209.18	$441.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $138.36 / $138.36	Professional		$108.17	$138.36	$138.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $50.51 / $96.82	Professional		$48.26	$50.51	$96.82