Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $205.43	Professional		$180.20	$180.20	$205.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.74 / $395.74 / $395.74	Facility		$395.74	$395.74	$395.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $227.98 / $273.20	Professional		$102.38	$227.98	$273.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $244.67 / $387.43	Facility		$180.20	$244.67	$387.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $158.40 / $17,728.12	Professional		$158.40	$158.40	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $212.06 / $215.07	Facility		$176.55	$212.06	$215.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.78 / $257.69 / $483.52	Facility		$172.78	$257.69	$483.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $203.81 / $270.30	Professional		$172.78	$203.81	$270.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $600.91 / $600.91 / $600.91	Facility		$600.91	$600.91	$600.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $190.80 / $190.80	Professional		$190.80	$190.80	$190.80
United Facility/Professional Professional Modifier Low / Median / High Price $205.63 / $218.36 / $218.36	Professional		$205.63	$218.36	$218.36