Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $244.66 / $1,176.75	Professional		$179.37	$244.66	$1,176.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $233.26	Professional		$170.28	$170.28	$233.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $790.48 / $1,030.98	Professional		$285.50	$790.48	$1,030.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.66 / $335.18 / $407.85	Facility		$244.66	$335.18	$407.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.26 / $387.46 / $428.24	Professional		$303.26	$387.46	$428.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $407.85 / $448.64	Facility		$323.75	$407.85	$448.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $367.07 / $407.85 / $422.44	Professional		$367.07	$407.85	$422.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $349.86 / $428.24	Facility		$233.26	$349.86	$428.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $357.13 / $448.64	Professional		$170.28	$357.13	$448.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.80 / $678.24 / $1,430.88	Facility		$339.80	$678.24	$1,430.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.75 / $448.64 / $448.64	Professional		$350.75	$448.64	$448.64
United Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $186.23 / $355.31	Professional		$175.30	$186.23	$355.31