Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $177.05 / $1,134.03	Professional		$125.85	$177.05	$1,134.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $624.29 / $814.21	Professional		$206.35	$624.29	$814.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $242.26 / $302.94	Facility		$176.83	$242.26	$302.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $277.08 / $309.52	Professional		$217.01	$277.08	$309.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.99 / $294.77 / $393.04	Facility		$233.99	$294.77	$393.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $294.77 / $393.04	Professional		$265.30	$294.77	$393.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $258.12 / $309.52	Facility		$176.83	$258.12	$309.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $258.12 / $324.26	Professional		$139.19	$258.12	$324.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $490.22 / $1,034.18	Facility		$245.60	$490.22	$1,034.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $324.26 / $324.26	Professional		$253.51	$324.26	$324.26
United Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $147.07 / $287.87	Professional		$138.43	$147.07	$287.87