Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $185.00 / $300.00	Facility		$172.50	$185.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $129.81 / $230.00	Professional		$106.38	$129.81	$230.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.60 / $233.60 / $233.60	Facility		$233.60	$233.60	$233.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $164.30 / $257.89	Professional		$97.12	$164.30	$257.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $254.66 / $411.27	Professional		$143.75	$254.66	$411.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $150.94 / $10,941.14	Facility		$106.38	$150.94	$10,941.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $173.62 / $254.12	Professional		$143.75	$173.62	$254.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $143.75 / $230.00	Facility		$143.75	$143.75	$230.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $181.84 / $316.25	Facility		$135.13	$181.84	$316.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $172.50 / $217.06	Professional		$158.13	$172.50	$217.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.50 / $287.50 / $503.13	Facility		$287.50	$287.50	$503.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.76 / $282.41 / $461.38	Professional		$253.76	$282.41	$461.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $103.13 / $447.11	Professional		$86.25	$103.13	$447.11