Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $549.54	Facility		$117.49	$117.49	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $5,623.41	Facility		$524.81	$549.54	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $676.08	Professional		$549.54	$549.54	$676.08
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 / $549.54 / $831.76	Facility		$141.25	$549.54	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $537.03	Professional		$169.82	$251.19	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,096.48	Facility		$549.54	$794.33	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $562.34 / $2,691.53	Facility		$239.88	$562.34	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $2,137.96	Professional		$79.43	$125.89	$2,137.96
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 / $2,691.53	Professional		$125.89	$158.49	$2,691.53