Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $75.28 / $357.13	Professional		$55.24	$75.28	$357.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Professional		$85.60	$85.60	$85.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $240.05 / $313.08	Professional		$86.65	$240.05	$313.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $103.13 / $123.78	Facility		$75.28	$103.13	$123.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $116.35 / $129.97	Professional		$92.04	$116.35	$129.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $123.78 / $141.27	Facility		$111.40	$123.78	$141.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $98.33 / $98.33	Professional		$98.33	$98.33	$98.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $101.43 / $123.78	Facility		$75.28	$101.43	$123.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $108.39 / $136.16	Professional		$85.60	$108.39	$136.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $103.13 / $205.84 / $434.28	Facility		$103.13	$205.84	$434.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $136.16 / $136.16	Professional		$107.69	$136.16	$136.16
United Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $56.53 / $107.85	Professional		$54.01	$56.53	$107.85