Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $136.94 / $1,176.75	Professional		$121.73	$136.94	$1,176.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $243.61 / $317.73	Professional		$80.87	$243.61	$317.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $121.73 / $357.47	Facility		$86.65	$121.73	$357.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $115.53 / $319.22	Professional		$108.60	$115.53	$319.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $172.17 / $335.07	Facility		$115.53	$172.17	$335.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $324.01 / $324.01	Professional		$324.01	$324.01	$324.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $121.73 / $305.89	Facility		$115.53	$121.73	$305.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $181.17 / $339.12	Professional		$134.59	$181.17	$339.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.99 / $576.61 / $678.24	Facility		$153.99	$576.61	$678.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $127.08 / $350.15	Professional		$100.51	$127.08	$350.15
United Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $186.23 / $292.17	Professional		$124.16	$186.23	$292.17