Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $367.74 / $367.74	Facility		$367.74	$367.74	$367.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $143.09 / $287.66	Professional		$109.16	$143.09	$287.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.73 / $239.73 / $239.73	Facility		$239.73	$239.73	$239.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $191.99 / $264.94	Professional		$113.42	$191.99	$264.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $261.54 / $422.39	Professional		$147.52	$261.54	$422.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $154.90 / $12,235.08	Facility		$109.16	$154.90	$12,235.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $177.02 / $284.17	Professional		$147.52	$177.02	$284.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $147.52 / $264.50	Facility		$147.52	$147.52	$264.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $186.61 / $324.54	Facility		$138.66	$186.61	$324.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $186.61 / $236.03	Professional		$162.27	$186.61	$236.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.04 / $295.04 / $516.32	Facility		$295.04	$295.04	$516.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $289.89 / $473.12	Professional		$260.35	$289.89	$473.12
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $147.52 / $458.83	Professional		$88.51	$147.52	$458.83