Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $210.14 / $210.14	Facility		$89.31	$210.14	$210.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $87.21 / $90.36	Professional		$84.06	$87.21	$90.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $89.16 / $178.62	Facility		$89.16	$89.16	$178.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $105.07 / $187.50	Facility		$87.21	$105.07	$187.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.52 / $79,999.20 / $79,999.20	Facility		$118.52	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $105.07 / $171.68	Facility		$87.21	$105.07	$171.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $107.30 / $109.45	Professional		$89.31	$107.30	$109.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $138.37 / $312.93	Facility		$82.46	$138.37	$312.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $101.57	Professional		$87.56	$87.56	$101.57