Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $177.09 / $1,247.50	Professional		$114.31	$177.09	$1,247.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $421.87 / $550.23	Professional		$140.26	$421.87	$550.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.35 / $200.37 / $342.60	Facility		$159.35	$200.37	$342.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $264.45 / $285.74	Professional		$190.35	$264.45	$285.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $260.48 / $303.51	Facility		$200.37	$260.48	$303.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $204.13 / $307.10	Professional		$190.35	$204.13	$307.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.35 / $210.39 / $317.38	Facility		$159.35	$210.39	$317.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $232.07 / $301.10	Professional		$156.91	$232.07	$301.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.20 / $511.96 / $808.60	Facility		$206.20	$511.96	$808.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $220.41 / $317.17	Professional		$174.32	$220.41	$317.17
United Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $161.78 / $249.30	Professional		$139.24	$161.78	$249.30