Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.83 / $350.83 / $350.83	Facility		$350.83	$350.83	$350.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $136.51 / $274.42	Professional		$104.14	$136.51	$274.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.68 / $228.68 / $228.68	Facility		$228.68	$228.68	$228.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $183.27 / $252.61	Professional		$108.20	$183.27	$252.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $249.50 / $402.94	Professional		$140.72	$249.50	$402.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.14 / $147.77 / $12,191.06	Facility		$104.14	$147.77	$12,191.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $168.88 / $283.14	Professional		$140.72	$168.88	$283.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $253.00	Facility		$140.72	$140.72	$253.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $178.02 / $309.61	Facility		$132.29	$178.02	$309.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $178.02 / $225.16	Professional		$154.80	$178.02	$225.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.45 / $281.45 / $492.56	Facility		$281.45	$281.45	$492.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $276.95 / $451.76	Professional		$248.38	$276.95	$451.76
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $140.72 / $437.72	Professional		$84.44	$140.72	$437.72