Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.91 / $322.91 / $384.00	Facility		$322.91	$322.91	$384.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $195.15 / $219.60	Professional		$195.15	$195.15	$219.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $82.20	Facility		$60.00	$60.00	$82.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $295.55 / $17,728.12	Professional		$135.00	$295.55	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $117.86 / $147.30	Facility		$77.40	$117.86	$147.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $82.20 / $322.91	Facility		$60.00	$82.20	$322.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $150.00	Professional		$95.00	$95.00	$150.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $154.61 / $347.55	Professional		$146.88	$154.61	$347.55
United Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Professional		$260.00	$260.00	$260.00