Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $228.90 / $1,367.28	Professional		$151.74	$228.90	$1,367.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $206.14	Professional		$178.04	$178.04	$206.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.11 / $752.82 / $981.88	Professional		$267.11	$752.82	$981.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $313.58 / $381.58	Facility		$228.90	$313.58	$381.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $358.69 / $400.66	Professional		$283.74	$358.69	$400.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.89 / $355.41 / $390.95	Facility		$302.89	$355.41	$390.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $343.42 / $355.41 / $390.95	Professional		$343.42	$355.41	$390.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.67 / $327.33 / $400.66	Facility		$226.67	$327.33	$400.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $334.13 / $419.74	Professional		$178.04	$334.13	$419.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.92 / $634.58 / $1,338.73	Facility		$317.92	$634.58	$1,338.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.16 / $419.74 / $419.74	Professional		$328.16	$419.74	$419.74
United Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $177.31 / $338.29	Professional		$166.90	$177.31	$338.29