Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $361.39 / $940.02	Facility		$44.99	$361.39	$940.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $219.72 / $1,022.68	Professional		$154.99	$219.72	$1,022.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $653.39 / $852.20	Professional		$252.89	$653.39	$852.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.72 / $301.02 / $361.27	Facility		$219.72	$301.02	$361.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $325.14 / $361.27	Professional		$268.62	$325.14	$361.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $352.80 / $397.40	Facility		$301.39	$352.80	$397.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.72 / $281.24 / $361.27	Facility		$219.72	$281.24	$361.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $316.33 / $397.40	Professional		$233.13	$316.33	$397.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $397.40 / $397.40	Professional		$314.30	$397.40	$397.40
United Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $153.97 / $293.75	Professional		$147.11	$153.97	$293.75