Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $101.00 / $593.00	Professional		$78.95	$101.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $155.54 / $242.44	Professional		$87.88	$155.54	$242.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $191.56 / $229.29	Professional		$163.87	$191.56	$229.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.72 / $122.07 / $194.65	Facility		$88.72	$122.07	$194.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $1,148.00 / $1,344.00	Professional		$160.74	$1,148.00	$1,344.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.03 / $178.87 / $182.91	Facility		$150.03	$178.87	$182.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $121.62 / $194.65	Facility		$89.92	$121.62	$194.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $173.61 / $247.10	Professional		$94.28	$173.61	$247.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $188.07 / $247.18	Professional		$140.84	$188.07	$247.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $151.41 / $234.00	Professional		$108.31	$151.41	$234.00