Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $755.47	Professional		$87.57	$87.57	$755.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $218.46 / $512.00	Professional		$12.00	$218.46	$512.00
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 $87.57 / $87.57 / $188.28	Facility		$87.57	$87.57	$188.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $13,910.16 / $18,772.80	Professional		$161.94	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.67 / $400.22 / $426.12	Facility		$255.67	$400.22	$426.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $188.28	Facility		$87.57	$87.57	$188.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $512.00	Professional		$12.00	$12.00	$512.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $57.51	Professional		$44.13	$44.13	$57.51