Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $326.18 / $1,752.42	Professional		$221.49	$326.18	$1,752.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $297.02	Professional		$216.82	$216.82	$297.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $965.17 / $1,258.84	Professional		$380.63	$965.17	$1,258.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.18 / $446.87 / $543.75	Facility		$326.18	$446.87	$543.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.32 / $511.13 / $570.94	Professional		$404.32	$511.13	$570.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.65 / $489.38 / $543.75	Facility		$431.65	$489.38	$543.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $455.53 / $543.75 / $569.41	Professional		$455.53	$543.75	$569.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $466.44 / $570.94	Facility		$293.26	$466.44	$570.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $476.13 / $598.13	Professional		$216.82	$476.13	$598.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.03 / $904.26 / $1,907.66	Facility		$453.03	$904.26	$1,907.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.63 / $598.13 / $598.13	Professional		$467.63	$598.13	$598.13
United Facility/Professional Professional Modifier Low / Median / High Price $216.26 / $227.26 / $433.58	Professional		$216.26	$227.26	$433.58