Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $84.68 / $169.36	Facility		$84.68	$84.68	$169.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $70.28 / $84.68	Professional		$70.28	$70.28	$84.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Facility		$120.50	$120.50	$120.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $65.37	Professional		$60.25	$60.25	$65.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $63.91 / $76.59	Professional		$28.70	$63.91	$76.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $93.15 / $151.10	Facility		$69.43	$93.15	$151.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $101.83	Professional		$40.25	$40.25	$101.83
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 $0.02 / $93.15 / $151.10	Facility		$0.02	$93.15	$151.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $61.74 / $88.07	Professional		$48.53	$61.74	$88.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $98.76 / $124.81	Facility		$68.54	$98.76	$124.81
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56