Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $222.11 / $514.55	Facility		$153.00	$222.11	$514.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $200.00 / $465.52	Professional		$163.06	$200.00	$465.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.92 / $409.92 / $409.92	Facility		$409.92	$409.92	$409.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $133.52 / $159.99	Professional		$59.96	$133.52	$159.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $241.40 / $421.03	Facility		$111.08	$241.40	$421.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $192.12 / $17,728.12	Professional		$94.15	$192.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $124.20 / $125.96	Facility		$103.40	$124.20	$125.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $253.43 / $421.03	Facility		$111.08	$253.43	$421.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $201.30 / $228.75	Professional		$91.12	$201.30	$228.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $207.35 / $207.35	Professional		$207.35	$207.35	$207.35
United Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $230.39 / $230.54	Professional		$217.10	$230.39	$230.54