Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $216.74 / $1,119.63	Professional		$131.78	$216.74	$1,119.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $616.47 / $804.04	Professional		$252.92	$616.47	$804.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $296.93 / $361.32	Facility		$216.74	$296.93	$361.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.66 / $339.64 / $379.39	Professional		$268.66	$339.64	$379.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $284.22 / $320.14 / $361.32	Facility		$284.22	$320.14	$361.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $286.81 / $325.19 / $361.32	Professional		$286.81	$325.19	$361.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $309.94 / $379.39	Facility		$181.86	$309.94	$379.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $316.38 / $397.45	Professional		$132.76	$316.38	$397.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $301.02 / $600.86 / $1,267.60	Facility		$301.02	$600.86	$1,267.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.74 / $397.45 / $397.45	Professional		$310.74	$397.45	$397.45
United Facility/Professional Facility Modifier Low / Median / High Price $143.90 / $143.90 / $185.91	Facility		$143.90	$143.90	$185.91
United Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $145.19 / $277.02	Professional		$138.16	$145.19	$277.02