Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $330.65 / $392.43	Professional		$303.00	$330.65	$392.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $315.25	Professional		$230.13	$230.13	$315.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $1,068.88 / $1,394.09	Professional		$385.85	$1,068.88	$1,394.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.65 / $452.99 / $551.21	Facility		$330.65	$452.99	$551.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.79 / $496.09 / $578.77	Professional		$405.79	$496.09	$578.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.54 / $551.21 / $606.33	Facility		$437.54	$551.21	$606.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $496.09 / $551.21 / $606.33	Professional		$496.09	$551.21	$606.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $472.83 / $578.77	Facility		$315.25	$472.83	$578.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $482.66 / $606.33	Professional		$230.13	$482.66	$606.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $459.24 / $916.64 / $1,933.83	Facility		$459.24	$916.64	$1,933.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $474.04 / $606.33 / $606.33	Professional		$474.04	$606.33	$606.33
United Facility/Professional Professional Modifier Low / Median / High Price $236.92 / $251.69 / $492.68	Professional		$236.92	$251.69	$492.68