Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $185.38 / $1,112.55	Professional		$130.11	$185.38	$1,112.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $180.71	Professional		$131.91	$131.91	$180.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $612.91 / $799.39	Professional		$216.32	$612.91	$799.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $259.44 / $309.02	Facility		$185.38	$259.44	$309.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $290.49 / $324.48	Professional		$229.78	$290.49	$324.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $289.20 / $318.12	Facility		$245.31	$289.20	$318.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $293.58 / $309.02	Professional		$278.13	$293.58	$309.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $270.60 / $324.48	Facility		$180.71	$270.60	$324.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $270.60 / $339.93	Professional		$131.91	$270.60	$339.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.47 / $513.91 / $1,084.19	Facility		$257.47	$513.91	$1,084.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $339.93 / $339.93	Professional		$265.77	$339.93	$339.93
United Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $144.28 / $275.27	Professional		$137.84	$144.28	$275.27