Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $697.12	Facility		$331.13	$331.13	$697.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $289.30 / $289.30	Professional		$152.76	$289.30	$289.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.38 / $257.38 / $257.38	Facility		$257.38	$257.38	$257.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.04 / $369.15 / $398.29	Professional		$320.04	$369.15	$398.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $320.05 / $417.35	Facility		$152.76	$320.05	$417.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $17,150.38 / $18,772.80	Professional		$328.66	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $313.56 / $313.56	Facility		$218.79	$313.56	$313.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $348.56 / $662.26	Facility		$152.76	$348.56	$662.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $413.91 / $413.91	Professional		$128.69	$413.91	$413.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.18 / $503.02 / $648.91	Facility		$287.18	$503.02	$648.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $298.20	Professional		$259.31	$259.31	$298.20