Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $169.74 / $244.20	Professional		$92.25	$169.74	$244.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.16 / $389.83 / $511.55	Professional		$260.16	$389.83	$511.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.25 / $442.35 / $531.13	Professional		$363.25	$442.35	$531.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $241.14 / $418.50	Facility		$169.74	$241.14	$418.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.84 / $226.42 / $238.34	Facility		$166.84	$226.42	$238.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.63 / $241.14 / $418.50	Facility		$168.63	$241.14	$418.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $362.82 / $502.24	Professional		$275.20	$362.82	$502.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $429.29 / $787.14 / $1,243.09	Facility		$429.29	$787.14	$1,243.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $355.39 / $454.80	Professional		$259.20	$355.39	$454.80
United Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $372.76 / $619.28	Professional		$174.11	$372.76	$619.28