Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $128.86	Professional		$20.00	$20.00	$128.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $123.56 / $123.56	Professional		$73.00	$123.56	$123.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $43.00	Facility		$20.00	$20.00	$43.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $43.00	Facility		$20.00	$20.00	$43.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $123.56	Professional		$73.00	$73.00	$123.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $35.96	Professional		$27.58	$27.58	$35.96