Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.23 / $211.23 / $211.23	Facility		$211.23	$211.23	$211.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $40.94 / $54.30	Professional		$37.32	$40.94	$54.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $190.20	Professional		$64.15	$64.15	$190.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $94.76 / $108.68	Professional		$80.04	$94.76	$108.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $54.30 / $94.35	Facility		$40.04	$54.30	$94.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $80.04 / $81.73	Facility		$53.64	$80.04	$81.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $54.30 / $94.35	Facility		$37.32	$54.30	$94.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $66.14 / $162.00	Professional		$64.15	$66.14	$162.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.12 / $150.99	Facility		$109.65	$131.12	$150.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $90.68 / $119.49	Professional		$65.56	$90.68	$119.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $46.66 / $111.64	Professional		$28.33	$46.66	$111.64