Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.68 / $374.68 / $374.68	Facility		$374.68	$374.68	$374.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $151.33 / $310.44	Professional		$127.76	$151.33	$310.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.25 / $244.25 / $244.25	Facility		$244.25	$244.25	$244.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $191.62 / $269.64	Professional		$113.23	$191.62	$269.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $266.70 / $430.72	Professional		$150.30	$266.70	$430.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $149.05 / $6,958.26	Facility		$111.22	$149.05	$6,958.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $162.78 / $202.91	Professional		$135.65	$162.78	$202.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $150.30 / $264.50	Facility		$150.30	$150.30	$264.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $190.13 / $330.66	Facility		$135.27	$190.13	$330.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $172.85 / $226.95	Professional		$150.30	$172.85	$226.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $300.60 / $526.04	Facility		$300.60	$300.60	$526.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $295.33 / $482.74	Professional		$265.73	$295.33	$482.74
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $150.30 / $467.48	Professional		$90.18	$150.30	$467.48