Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $436.52	Facility		$181.97	$186.21	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $186.21	Professional		$173.78	$181.97	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $28.18 / $30.20	Professional		$11.75	$28.18	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $389.05	Facility		$13.18	$13.18	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $13.18 / $186.21	Professional		$2.75	$13.18	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $245.47	Facility		$173.78	$186.21	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $537.03	Facility		$181.97	$239.88	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $186.21 / $186.21	Professional		$24.55	$186.21	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $588.84	Facility		$120.23	$257.04	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97