Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $260.39	Facility		$147.79	$147.79	$260.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $260.39	Professional		$140.75	$140.75	$260.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.64 / $323.64 / $323.64	Facility		$323.64	$323.64	$323.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $308.95 / $370.22	Professional		$138.74	$308.95	$370.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $201.27 / $302.61	Facility		$140.75	$201.27	$302.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $149.19 / $17,728.12	Professional		$140.75	$149.19	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $157.63 / $292.13	Facility		$126.68	$157.63	$292.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $201.27 / $416.62	Facility		$140.75	$201.27	$416.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $161.82 / $246.49	Professional		$152.69	$161.82	$246.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.32 / $427.94 / $564.33	Facility		$239.32	$427.94	$564.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.64 / $211.64 / $211.64	Professional		$211.64	$211.64	$211.64
United Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $173.08 / $173.38	Professional		$163.26	$173.08	$173.38