Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $1,318.26	Professional		$77.62	$100.00	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $245.47	Professional		$83.18	$165.96	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $239.88	Professional		$165.96	$199.53	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $114.82 / $190.55	Facility		$85.11	$114.82	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $380.19 / $1,862.09	Professional		$81.28	$380.19	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $181.97	Facility		$151.36	$177.83	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $186.21	Facility		$83.18	$114.82	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $239.88	Professional		$70.79	$93.33	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $245.47	Professional		$144.54	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $234.42	Professional		$100.00	$147.91	$234.42