Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $241.26 / $1,545.30	Professional		$180.72	$241.26	$1,545.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $251.00	Professional		$183.23	$183.23	$251.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $850.85 / $1,109.69	Professional		$281.18	$850.85	$1,109.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.96 / $330.12 / $412.09	Facility		$240.96	$330.12	$412.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.67 / $377.59 / $421.77	Professional		$298.67	$377.59	$421.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $392.28 / $441.86	Facility		$318.85	$392.28	$441.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $401.69 / $413.74	Professional		$319.11	$401.69	$413.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.96 / $351.74 / $421.77	Facility		$240.96	$351.74	$421.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $351.74 / $441.86	Professional		$183.23	$351.74	$441.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $334.67 / $668.00 / $1,409.28	Facility		$334.67	$668.00	$1,409.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $441.86 / $441.86	Professional		$345.45	$441.86	$441.86
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $200.40 / $382.34	Professional		$188.63	$200.40	$382.34