Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.25 / $209.05 / $321.60	Facility		$202.25	$209.05	$321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $180.00 / $294.01	Professional		$145.00	$180.00	$294.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.52 / $373.52 / $373.52	Facility		$373.52	$373.52	$373.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $557.53 / $668.08	Professional		$250.37	$557.53	$668.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $219.95 / $365.41	Facility		$143.75	$219.95	$365.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $166.75 / $17,728.12	Professional		$116.38	$166.75	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $477.56 / $511.21	Facility		$135.37	$477.56	$511.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $243.04 / $465.76	Facility		$143.75	$243.04	$465.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $186.76 / $637.50	Professional		$136.24	$186.76	$637.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $494.50 / $494.50 / $494.50	Facility		$494.50	$494.50	$494.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $179.95 / $179.95	Professional		$179.95	$179.95	$179.95
United Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $199.95 / $200.10	Professional		$171.75	$199.95	$200.10