Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.52 / $317.20 / $1,590.58	Professional		$176.52	$317.20	$1,590.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.15 / $875.70 / $1,142.11	Professional		$370.15	$875.70	$1,142.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $424.71 / $528.79	Facility		$317.20	$424.71	$528.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.18 / $497.06 / $555.23	Professional		$393.18	$497.06	$555.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $475.91 / $528.79	Facility		$419.74	$475.91	$528.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $445.80 / $528.79 / $528.79	Professional		$445.80	$528.79	$528.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $450.75 / $555.23	Facility		$273.20	$450.75	$555.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $463.03 / $581.66	Professional		$199.44	$463.03	$581.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $440.56 / $879.36 / $1,855.18	Facility		$440.56	$879.36	$1,855.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $581.66 / $581.66	Professional		$454.76	$581.66	$581.66
United Facility/Professional Professional Modifier Low / Median / High Price $194.17 / $206.27 / $393.54	Professional		$194.17	$206.27	$393.54