Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $112.55 / $140.10	Facility		$73.90	$112.55	$140.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $85.16 / $128.13	Professional		$70.37	$85.16	$128.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $154.13 / $154.13	Facility		$154.13	$154.13	$154.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $154.83 / $185.54	Professional		$69.53	$154.83	$185.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $100.64 / $151.32	Facility		$70.38	$100.64	$151.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $77.41 / $17,728.12	Professional		$70.38	$77.41	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $78.83 / $146.06	Facility		$63.34	$78.83	$146.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $100.64 / $208.32	Facility		$70.38	$100.64	$208.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $80.04 / $122.90	Professional		$75.69	$80.04	$122.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $214.50 / $281.45	Facility		$118.43	$214.50	$281.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $77.88 / $77.88	Professional		$77.88	$77.88	$77.88
United Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $86.54 / $86.68	Professional		$73.17	$86.54	$86.68