Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $128.31 / $608.71	Professional		$94.15	$128.31	$608.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $409.09 / $533.55	Professional		$147.66	$409.09	$533.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.31 / $184.91 / $232.06	Facility		$128.31	$184.91	$232.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $200.41 / $221.51	Professional		$156.86	$200.41	$221.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $210.96 / $240.85	Facility		$206.02	$210.96	$240.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.31 / $183.48 / $210.96	Facility		$128.31	$183.48	$210.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $184.73 / $232.06	Professional		$145.90	$184.73	$232.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $350.84 / $740.14	Facility		$175.77	$350.84	$740.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $232.06 / $232.06	Professional		$183.54	$232.06	$232.06
United Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $96.36 / $184.69	Professional		$92.06	$96.36	$184.69