Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $882.30	Facility		$374.98	$374.98	$882.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $366.15 / $374.98	Professional		$366.15	$366.15	$374.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.96 / $749.96 / $749.96	Facility		$749.96	$749.96	$749.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $14.92 / $17.87	Professional		$6.70	$14.92	$17.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $485.27 / $787.22	Facility		$35.52	$485.27	$787.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $18.60	Professional		$14.75	$14.75	$18.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $435.27 / $787.22	Facility		$183.81	$435.27	$787.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $183.81 / $459.54	Professional		$11.32	$183.81	$459.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63