Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $107.16 / $614.95	Professional		$76.73	$107.16	$614.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $338.77 / $441.83	Professional		$123.33	$338.77	$441.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $146.81 / $176.19	Facility		$107.16	$146.81	$176.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $165.62 / $185.00	Professional		$131.01	$165.62	$185.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $176.19 / $193.81	Facility		$139.85	$176.19	$193.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $176.19 / $186.32	Professional		$158.57	$176.19	$186.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $153.32 / $185.00	Facility		$107.16	$153.32	$185.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $154.28 / $193.81	Professional		$82.67	$154.28	$193.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $293.00 / $618.14	Facility		$146.79	$293.00	$618.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $193.81 / $193.81	Professional		$151.52	$193.81	$193.81
United Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $79.75 / $152.15	Professional		$76.19	$79.75	$152.15