Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $373.08	Facility		$158.56	$158.56	$373.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $154.83 / $158.56	Professional		$154.83	$154.83	$158.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.12 / $317.12 / $317.12	Facility		$317.12	$317.12	$317.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $95.17 / $114.05	Professional		$42.74	$95.17	$114.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $205.19 / $332.88	Facility		$66.95	$205.19	$332.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $61.24 / $97.84	Professional		$59.75	$61.24	$97.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $79,999.20 / $79,999.20	Facility		$88.06	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $221.41 / $449.30	Facility		$154.83	$221.41	$449.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $158.56 / $193.88	Professional		$72.25	$158.56	$193.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $261.68 / $549.07	Facility		$107.29	$261.68	$549.07
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44