Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $63.71 / $307.75	Professional		$37.39	$63.71	$307.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $51.74	Professional		$37.77	$37.77	$51.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $169.75 / $221.38	Professional		$73.31	$169.75	$221.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $82.42 / $104.74	Facility		$59.99	$82.42	$104.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $98.46 / $109.98	Professional		$77.88	$98.46	$109.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $89.03 / $104.74	Facility		$78.12	$89.03	$104.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $104.74 / $104.74	Professional		$79.98	$104.74	$104.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $87.28 / $109.98	Facility		$51.74	$87.28	$109.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $91.72 / $115.21	Professional		$37.77	$91.72	$115.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.27 / $174.20 / $367.49	Facility		$87.27	$174.20	$367.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $115.21 / $115.21	Professional		$90.08	$115.21	$115.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $39.90 / $76.48	Professional		$38.13	$39.90	$76.48