Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $161.50 / $891.76	Professional		$139.21	$161.50	$891.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $144.84	Professional		$105.73	$105.73	$144.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $490.77 / $640.08	Professional		$207.29	$490.77	$640.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $238.34 / $296.13	Facility		$177.64	$238.34	$296.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.17 / $278.36 / $310.94	Professional		$220.17	$278.36	$310.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $289.19 / $325.38	Facility		$235.05	$289.19	$325.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $296.13 / $296.13	Professional		$266.52	$296.13	$296.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $244.02 / $310.94	Facility		$144.84	$244.02	$310.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $259.30 / $325.74	Professional		$105.73	$259.30	$325.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.72 / $492.46 / $1,038.91	Facility		$246.72	$492.46	$1,038.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.67 / $325.74 / $325.74	Professional		$254.67	$325.74	$325.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $115.64 / $220.63	Professional		$107.78	$115.64	$220.63