Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Facility		$187.57	$187.57	$187.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $183.16 / $220.67	Professional		$176.54	$183.16	$220.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.03 / $242.10 / $336.25	Facility		$195.03	$242.10	$336.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $183.16 / $393.79	Facility		$183.16	$183.16	$393.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $193.67 / $326.24	Professional		$141.88	$193.67	$326.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $79,999.20 / $79,999.20	Facility		$138.31	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $238.74 / $364.20	Facility		$183.16	$238.74	$364.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $284.20 / $292.74	Professional		$187.57	$284.20	$292.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $193.87 / $290.81 / $532.94	Facility		$193.87	$290.81	$532.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $156.84 / $193.87	Professional		$124.40	$156.84	$193.87