Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $65.75 / $311.92	Professional		$48.27	$65.75	$311.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $209.52 / $273.26	Professional		$75.68	$209.52	$273.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $90.08 / $108.11	Facility		$65.75	$90.08	$108.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $101.62 / $113.52	Professional		$80.38	$101.62	$113.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $108.11 / $123.41	Facility		$97.30	$108.11	$123.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $85.88 / $85.88	Professional		$85.88	$85.88	$85.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $87.96 / $108.11	Facility		$65.75	$87.96	$108.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $94.66 / $118.92	Professional		$74.77	$94.66	$118.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $179.78 / $379.26	Facility		$90.07	$179.78	$379.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $118.92 / $118.92	Professional		$94.06	$118.92	$118.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $49.38 / $94.21	Professional		$47.18	$49.38	$94.21