Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $208.99 / $235.11	Professional		$138.02	$208.99	$235.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $192.25	Professional		$140.34	$140.34	$192.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.87 / $651.97 / $850.35	Professional		$243.87	$651.97	$850.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.99 / $305.36 / $348.39	Facility		$208.99	$305.36	$348.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $330.97 / $365.81	Professional		$256.49	$330.97	$365.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.24 / $347.38 / $383.23	Facility		$339.24	$347.38	$383.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $305.06 / $365.81	Facility		$192.25	$305.06	$365.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $305.06 / $383.23	Professional		$140.34	$305.06	$383.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $290.26 / $579.36 / $1,222.25	Facility		$290.26	$579.36	$1,222.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $383.23 / $383.23	Professional		$299.62	$383.23	$383.23
United Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $153.49 / $300.45	Professional		$146.65	$153.49	$300.45