Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $116.81 / $167.04	Facility		$116.81	$116.81	$167.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.16 / $155.97	Professional		$75.00	$98.16	$155.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $164.32	Facility		$164.32	$164.32	$164.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $183.25 / $219.58	Professional		$82.29	$183.25	$219.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $140.37 / $211.04	Facility		$96.67	$140.37	$211.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $112.88 / $18,772.80	Professional		$98.16	$112.88	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $96.01 / $173.28	Facility		$78.76	$96.01	$173.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $104.68 / $247.13	Facility		$57.57	$104.68	$247.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $91.70 / $115.75	Professional		$65.43	$91.70	$115.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.04 / $119.10 / $128.88	Facility		$50.04	$119.10	$128.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $103.33 / $103.48	Professional		$97.44	$103.33	$103.48