Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $199.56 / $959.87	Professional		$146.30	$199.56	$959.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $644.87 / $841.09	Professional		$232.88	$644.87	$841.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.56 / $273.39 / $332.68	Facility		$199.56	$273.39	$332.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.36 / $312.72 / $349.31	Professional		$247.36	$312.72	$349.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.06 / $332.68 / $365.95	Facility		$264.06	$332.68	$365.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $332.68 / $344.54	Professional		$299.41	$332.68	$344.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.56 / $285.37 / $349.31	Facility		$199.56	$285.37	$349.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $291.31 / $365.95	Professional		$166.41	$291.31	$365.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $277.17 / $553.24 / $1,167.16	Facility		$277.17	$553.24	$1,167.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $365.95 / $365.95	Professional		$286.10	$365.95	$365.95
United Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $151.90 / $289.80	Professional		$142.97	$151.90	$289.80