Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $226.86 / $1,166.89	Professional		$132.34	$226.86	$1,166.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $196.21	Professional		$143.22	$143.22	$196.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.73 / $642.75 / $838.31	Professional		$264.73	$642.75	$838.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.68 / $310.80 / $378.18	Facility		$220.68	$310.80	$378.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $355.49 / $397.09	Professional		$281.20	$355.49	$397.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.22 / $333.66 / $378.18	Facility		$296.22	$333.66	$378.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $300.44 / $378.18 / $378.18	Professional		$300.44	$378.18	$378.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.48 / $319.55 / $397.09	Facility		$189.48	$319.55	$397.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $331.15 / $416.00	Professional		$143.22	$331.15	$416.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $628.90 / $1,326.79	Facility		$315.08	$628.90	$1,326.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $416.00 / $416.00	Professional		$325.23	$416.00	$416.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $151.33 / $288.70	Professional		$144.58	$151.33	$288.70