Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $525.13	Facility		$120.72	$120.72	$525.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $120.72 / $144.38	Professional		$117.10	$120.72	$144.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $317.80 / $433.45	Facility		$196.18	$317.80	$433.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $92.81 / $157.50	Professional		$63.47	$92.81	$157.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $294.20 / $317.45	Professional		$120.72	$294.20	$317.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $120.72 / $363.00	Facility		$63.98	$120.72	$363.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $150.90 / $173.84	Professional		$120.72	$150.90	$173.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $126.76 / $79,999.20	Facility		$120.72	$126.76	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $138.83 / $302.11	Facility		$80.88	$138.83	$302.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $140.13 / $186.29	Professional		$108.65	$140.13	$186.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $372.58 / $815.00	Facility		$149.03	$372.58	$815.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $153.88 / $297.83	Professional		$108.05	$153.88	$297.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $68.98 / $144.86	Professional		$50.70	$68.98	$144.86