Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $205.00 / $1,962.56	Professional		$182.22	$205.00	$1,962.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $348.01 / $453.88	Professional		$115.56	$348.01	$453.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.82 / $182.22 / $559.15	Facility		$123.82	$182.22	$559.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $165.09 / $486.92	Professional		$155.18	$165.09	$486.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.09 / $246.04 / $506.39	Facility		$165.09	$246.04	$506.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $506.82 / $506.82 / $506.82	Professional		$506.82	$506.82	$506.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.09 / $182.22 / $391.77	Facility		$165.09	$182.22	$391.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $278.88 / $530.46	Professional		$192.35	$278.88	$530.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $901.94 / $1,060.92	Facility		$231.22	$901.94	$1,060.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $181.60 / $529.17	Professional		$143.63	$181.60	$529.17
United Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $257.63 / $404.17	Professional		$171.75	$257.63	$404.17