Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $280.20 / $1,558.86	Professional		$183.93	$280.20	$1,558.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $253.20	Professional		$184.84	$184.84	$253.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.99 / $858.64 / $1,119.90	Professional		$326.99	$858.64	$1,119.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $383.89 / $467.13	Facility		$280.20	$383.89	$467.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $439.10 / $490.49	Professional		$347.33	$439.10	$490.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $420.42 / $467.13	Facility		$370.80	$420.42	$467.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $405.22 / $467.13 / $467.13	Professional		$405.22	$467.13	$467.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $400.70 / $490.49	Facility		$253.20	$400.70	$490.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $409.03 / $513.84	Professional		$184.84	$409.03	$513.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.18 / $776.80 / $1,638.82	Facility		$389.18	$776.80	$1,638.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $401.73 / $513.84 / $513.84	Professional		$401.73	$513.84	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $202.16 / $385.69	Professional		$192.37	$202.16	$385.69