Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $211.77 / $1,244.76	Professional		$138.13	$211.77	$1,244.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.12 / $685.35 / $893.87	Professional		$247.12	$685.35	$893.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $290.12 / $353.03	Facility		$211.77	$290.12	$353.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $331.85 / $353.03	Professional		$262.49	$331.85	$353.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.23 / $353.03 / $431.42	Facility		$280.23	$353.03	$431.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $353.03 / $431.42	Professional		$300.08	$353.03	$431.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $303.22 / $370.68	Facility		$211.77	$303.22	$370.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $309.13 / $388.33	Professional		$195.70	$309.13	$388.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.13 / $587.08 / $1,238.56	Facility		$294.13	$587.08	$1,238.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.61 / $388.33 / $388.33	Professional		$303.61	$388.33	$388.33
United Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $161.41 / $307.97	Professional		$154.22	$161.41	$307.97