Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $228.59 / $1,159.01	Professional		$128.63	$228.59	$1,159.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $638.48 / $832.75	Professional		$266.75	$638.48	$832.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.95 / $309.62 / $381.07	Facility		$225.95	$309.62	$381.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.35 / $358.21 / $400.12	Professional		$283.35	$358.21	$400.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.45 / $342.96 / $388.69	Facility		$297.45	$342.96	$388.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $381.07 / $392.50	Professional		$304.58	$381.07	$392.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $324.83 / $400.12	Facility		$203.13	$324.83	$400.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $333.68 / $419.18	Professional		$159.56	$333.68	$419.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.49 / $633.72 / $1,336.92	Facility		$317.49	$633.72	$1,336.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $419.18 / $419.18	Professional		$327.72	$419.18	$419.18
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $150.31 / $286.76	Professional		$141.47	$150.31	$286.76