Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $98.15 / $167.64	Facility		$75.98	$98.15	$167.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $98.15 / $130.00	Professional		$65.47	$98.15	$130.00
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 $62.44 / $98.16 / $211.04	Facility		$62.44	$98.16	$211.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $104.05 / $18,772.80	Professional		$98.16	$104.05	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $83.50 / $173.29	Facility		$73.40	$83.50	$173.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $140.37 / $247.13	Facility		$62.44	$140.37	$247.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $91.70 / $115.75	Professional		$70.95	$91.70	$115.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $206.07 / $288.81	Facility		$95.11	$206.07	$288.81
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