Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $318.83 / $1,619.24	Professional		$197.68	$318.83	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $891.33 / $1,162.50	Professional		$372.06	$891.33	$1,162.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.83 / $432.14 / $531.51	Facility		$318.83	$432.14	$531.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $499.62 / $558.09	Professional		$395.21	$499.62	$558.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.91 / $478.36 / $531.51	Facility		$421.91	$478.36	$531.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $439.78 / $531.51 / $531.51	Professional		$439.78	$531.51	$531.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.82 / $453.08 / $558.09	Facility		$274.82	$453.08	$558.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $465.41 / $584.66	Professional		$215.87	$465.41	$584.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $442.83 / $883.90 / $1,864.71	Facility		$442.83	$883.90	$1,864.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.10 / $584.66 / $584.66	Professional		$457.10	$584.66	$584.66
United Facility/Professional Facility Modifier Low / Median / High Price $208.12 / $208.12 / $210.33	Facility		$208.12	$208.12	$210.33
United Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $209.99 / $400.63	Professional		$199.82	$209.99	$400.63