Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $193.75 / $1,052.52	Professional		$123.09	$193.75	$1,052.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $170.96	Professional		$124.80	$124.80	$170.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.09 / $579.53 / $755.85	Professional		$226.09	$579.53	$755.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $265.44 / $322.99	Facility		$193.75	$265.44	$322.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.16 / $303.61 / $339.14	Professional		$240.16	$303.61	$339.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $290.69 / $322.99	Facility		$256.39	$290.69	$322.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $286.41 / $322.99 / $322.99	Professional		$286.41	$322.99	$322.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $277.06 / $339.14	Facility		$170.71	$277.06	$339.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $282.82 / $355.29	Professional		$124.80	$282.82	$355.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.10 / $537.12 / $1,133.15	Facility		$269.10	$537.12	$1,133.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $355.29 / $355.29	Professional		$277.77	$355.29	$355.29
United Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $136.49 / $260.42	Professional		$129.88	$136.49	$260.42