Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $226.10 / $371.00	Professional		$171.00	$226.10	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $421.92 / $1,027.15	Facility		$223.70	$421.92	$1,027.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $935.47	Professional		$315.48	$315.48	$935.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $469.52 / $543.14	Professional		$395.21	$469.52	$543.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.63 / $371.00 / $584.33	Facility		$308.63	$371.00	$584.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.94 / $329.88 / $402.00	Facility		$230.94	$329.88	$402.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $371.00 / $755.11	Facility		$300.00	$371.00	$755.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $350.00 / $453.44	Professional		$271.35	$350.00	$453.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,005.04 / $1,318.98 / $1,523.10	Facility		$1,005.04	$1,318.98	$1,523.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $443.50 / $567.54	Professional		$324.36	$443.50	$567.54
United Facility/Professional Professional Modifier Low / Median / High Price $319.75 / $394.99 / $1,126.11	Professional		$319.75	$394.99	$1,126.11