Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.70 / $270.89 / $16,330.04	Facility		$240.70	$270.89	$16,330.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.49 / $282.24 / $472.97	Professional		$235.49	$282.24	$472.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.20 / $507.20 / $507.20	Facility		$507.20	$507.20	$507.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $566.75 / $679.15	Professional		$254.51	$566.75	$679.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $298.73 / $554.67	Facility		$257.99	$298.73	$554.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $283.79 / $18,772.80	Professional		$257.99	$283.79	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $288.95 / $535.45	Facility		$232.19	$288.95	$535.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.17 / $298.73 / $763.65	Facility		$236.17	$298.73	$763.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.07 / $279.89 / $304.24	Professional		$249.07	$279.89	$304.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $391.49 / $784.73 / $1,012.80	Facility		$391.49	$784.73	$1,012.80
United Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $291.52 / $309.58	Professional		$271.57	$291.52	$309.58