Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $149.83 / $235.37	Professional		$141.38	$149.83	$235.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.32 / $329.32 / $329.32	Facility		$329.32	$329.32	$329.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $137.06 / $164.26	Professional		$61.55	$137.06	$164.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $193.90 / $322.13	Facility		$113.99	$193.90	$322.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $17,728.12	Professional		$147.02	$147.02	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $127.50 / $129.31	Facility		$106.15	$127.50	$129.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $214.26 / $410.67	Facility		$113.99	$214.26	$410.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $161.72 / $183.78	Professional		$93.28	$161.72	$183.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $379.74 / $379.74 / $379.74	Facility		$379.74	$379.74	$379.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $124.28 / $124.28	Professional		$124.28	$124.28	$124.28
United Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $176.42 / $176.42	Professional		$166.13	$176.42	$176.42