Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $166.09 / $1,619.24	Professional		$147.63	$166.09	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $272.72 / $355.69	Professional		$90.70	$272.72	$355.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.18 / $147.63 / $465.85	Facility		$97.18	$147.63	$465.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $129.57 / $402.33	Professional		$121.80	$129.57	$402.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $193.09 / $412.84	Facility		$129.57	$193.09	$412.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $147.63 / $319.95	Facility		$129.57	$147.63	$319.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $220.82 / $441.95	Professional		$150.96	$220.82	$441.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $751.45 / $883.90	Facility		$187.70	$751.45	$883.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $142.53 / $431.41	Professional		$112.73	$142.53	$431.41
United Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $209.99 / $329.43	Professional		$132.49	$209.99	$329.43