Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.41 / $290.41 / $290.41	Facility		$290.41	$290.41	$290.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $120.30 / $124.56	Professional		$103.55	$120.30	$124.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.30 / $189.30 / $189.30	Facility		$189.30	$189.30	$189.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $151.77 / $209.13	Professional		$89.58	$151.77	$209.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $206.48 / $333.46	Professional		$116.49	$206.48	$333.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $122.31 / $6,651.98	Facility		$86.20	$122.31	$6,651.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $129.44 / $158.52	Professional		$116.49	$129.44	$158.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $116.49 / $212.75	Facility		$116.49	$116.49	$212.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $147.36 / $256.27	Facility		$107.29	$147.36	$256.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $139.79 / $175.90	Professional		$116.49	$139.79	$175.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $407.72	Facility		$232.98	$232.98	$407.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $229.33 / $373.80	Professional		$205.88	$229.33	$373.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $95.12 / $362.32	Professional		$69.89	$95.12	$362.32