Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $202.29 / $972.99	Professional		$148.30	$202.29	$972.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $192.91	Professional		$140.82	$140.82	$192.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $654.11 / $853.13	Professional		$236.06	$654.11	$853.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $277.14 / $337.23	Facility		$202.29	$277.14	$337.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.73 / $317.00 / $354.09	Professional		$250.73	$317.00	$354.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.69 / $337.23 / $370.95	Facility		$267.69	$337.23	$370.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $337.23 / $384.98	Professional		$286.64	$337.23	$384.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $289.62 / $354.09	Facility		$192.91	$289.62	$354.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $295.29 / $370.95	Professional		$140.82	$295.29	$370.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.95 / $560.79 / $1,183.10	Facility		$280.95	$560.79	$1,183.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.02 / $370.95 / $370.95	Professional		$290.02	$370.95	$370.95
United Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $154.02 / $293.85	Professional		$144.97	$154.02	$293.85