Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $115.57 / $548.26	Professional		$84.79	$115.57	$548.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $368.61 / $480.75	Professional		$133.01	$368.61	$480.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $158.33 / $190.02	Facility		$115.57	$158.33	$190.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.28 / $178.62 / $199.52	Professional		$141.28	$178.62	$199.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $190.02 / $216.89	Facility		$171.02	$190.02	$216.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $145.28 / $190.02	Facility		$67.73	$145.28	$190.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $166.39 / $209.02	Professional		$57.58	$166.39	$209.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $158.32 / $316.00 / $666.66	Facility		$158.32	$316.00	$666.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $209.02 / $209.02	Professional		$165.32	$209.02	$209.02
United Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $86.78 / $165.57	Professional		$82.91	$86.78	$165.57