Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $302.82 / $1,185.01	Professional		$168.15	$302.82	$1,185.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $246.11	Professional		$179.66	$179.66	$246.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $834.50 / $1,088.40	Professional		$353.37	$834.50	$1,088.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $404.66 / $504.81	Facility		$295.39	$404.66	$504.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $479.57 / $530.04	Professional		$375.35	$479.57	$530.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.71 / $492.98 / $544.91	Facility		$400.71	$492.98	$544.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $454.33 / $504.81 / $504.81	Professional		$454.33	$504.81	$504.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.91 / $430.31 / $530.04	Facility		$252.91	$430.31	$530.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $442.03 / $555.29	Professional		$179.66	$442.03	$555.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $420.58 / $839.48 / $1,771.04	Facility		$420.58	$839.48	$1,771.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $434.14 / $555.29 / $555.29	Professional		$434.14	$555.29	$555.29
United Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $196.49 / $374.88	Professional		$184.96	$196.49	$374.88