Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.66 / $1,869.66 / $2,885.22	Facility		$1,869.66	$1,869.66	$2,885.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $475.00 / $603.00	Professional		$101.19	$475.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $107.74 / $237.65	Facility		$70.28	$107.74	$237.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $187.35 / $304.79	Professional		$77.53	$187.35	$304.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $223.17 / $258.30	Professional		$187.89	$223.17	$258.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $603.00 / $862.29	Facility		$86.64	$603.00	$862.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $367.82 / $367.82	Professional		$367.82	$367.82	$367.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $187.89 / $193.63	Facility		$125.36	$187.89	$193.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $274.64 / $274.64	Professional		$48.56	$274.64	$274.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $603.00 / $940.38	Facility		$84.34	$603.00	$940.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $208.92 / $304.79	Professional		$96.80	$208.92	$304.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.90	Facility		$201.89	$281.32	$339.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $202.76 / $273.83	Professional		$172.97	$202.76	$273.83