Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $265.79 / $344.09	Professional		$265.79	$265.79	$344.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $312.81	Professional		$228.35	$228.35	$312.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $937.49 / $1,222.71	Professional		$338.39	$937.49	$1,222.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.98 / $397.27 / $483.41	Facility		$289.98	$397.27	$483.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.42 / $454.41 / $507.58	Professional		$359.42	$454.41	$507.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.71 / $483.41 / $531.75	Facility		$383.71	$483.41	$531.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $483.41 / $551.86	Professional		$435.07	$483.41	$551.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.98 / $415.16 / $507.58	Facility		$289.98	$415.16	$507.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $423.29 / $531.75	Professional		$228.35	$423.29	$531.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $402.75 / $803.90 / $1,695.95	Facility		$402.75	$803.90	$1,695.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.73 / $531.75 / $531.75	Professional		$415.73	$531.75	$531.75
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $220.78 / $423.17	Professional		$207.82	$220.78	$423.17