Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $86.85 / $178.00	Facility		$86.85	$86.85	$178.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $87.90 / $208.00	Professional		$84.48	$87.90	$208.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $185.54 / $185.54	Facility		$185.54	$185.54	$185.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $213.06 / $255.31	Professional		$95.68	$213.06	$255.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $120.82 / $181.65	Facility		$84.49	$120.82	$181.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $13,910.16 / $18,772.80	Professional		$114.51	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $198.19 / $201.00	Facility		$165.00	$198.19	$201.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $120.82 / $185.54	Facility		$84.23	$120.82	$185.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $99.40 / $252.45	Professional		$91.11	$99.40	$252.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.04 / $306.25 / $392.04	Facility		$146.04	$306.25	$392.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $132.84 / $132.84	Professional		$132.84	$132.84	$132.84
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.40 / $99.40	Professional		$82.83	$99.40	$99.40