Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $202.00 / $1,106.90	Professional		$131.82	$202.00	$1,106.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.71 / $609.37 / $794.77	Professional		$235.71	$609.37	$794.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $276.74 / $336.73	Facility		$202.00	$276.74	$336.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $316.52 / $353.57	Professional		$250.37	$316.52	$353.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.29 / $303.06 / $336.73	Facility		$267.29	$303.06	$336.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $336.73 / $336.73	Professional		$287.73	$336.73	$336.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $288.86 / $353.57	Facility		$202.00	$288.86	$353.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $294.86 / $370.40	Professional		$164.47	$294.86	$370.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.55 / $559.98 / $1,181.39	Facility		$280.55	$559.98	$1,181.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.58 / $370.40 / $370.40	Professional		$289.58	$370.40	$370.40
United Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $460.37 / $613.82	Facility		$460.37	$460.37	$613.82
United Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $143.54 / $275.13	Professional		$136.60	$143.54	$275.13