Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $326.27 / $955.74	Facility		$156.59	$326.27	$955.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.54 / $148.01	Professional		$85.59	$104.54	$148.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.45 / $412.21 / $454.96	Facility		$254.45	$412.21	$454.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $204.38	Professional		$59.04	$82.33	$204.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $381.79 / $411.91	Professional		$156.59	$381.79	$411.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $156.59 / $326.56	Facility		$81.45	$156.59	$326.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $156.59 / $212.96	Professional		$122.99	$156.59	$212.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $164.42 / $79,999.20	Facility		$156.59	$164.42	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $207.48 / $454.11	Facility		$187.91	$207.48	$454.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $172.25 / $219.23	Professional		$101.47	$172.25	$219.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $305.35 / $476.50 / $614.76	Facility		$305.35	$476.50	$614.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $142.50 / $385.64	Professional		$92.24	$142.50	$385.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $65.77 / $187.91	Professional		$51.66	$65.77	$187.91