Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $1,000.00	Facility		$117.49	$117.49	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,023.29	Professional		$954.99	$1,000.00	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $2,041.74	Facility		$1,023.29	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $323.59	Professional		$151.36	$257.04	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $954.99 / $1,412.54	Facility		$141.25	$954.99	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $363.08	Professional		$165.96	$251.19	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,071.52 / $1,412.54	Facility		$190.55	$1,071.52	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $1,258.93	Professional		$79.43	$125.89	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $794.33	Professional		$125.89	$158.49	$794.33