Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $207.50 / $1,329.04	Professional		$159.10	$207.50	$1,329.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $215.87	Professional		$157.59	$157.59	$215.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $731.51 / $954.10	Professional		$241.84	$731.51	$954.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.24 / $283.92 / $354.92	Facility		$207.24	$283.92	$354.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $324.75 / $345.48	Professional		$256.88	$324.75	$345.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.24 / $337.38 / $380.03	Facility		$274.24	$337.38	$380.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $345.48 / $380.03	Professional		$293.66	$345.48	$380.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.24 / $296.72 / $362.75	Facility		$207.24	$296.72	$362.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $302.51 / $380.03	Professional		$157.59	$302.51	$380.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $574.52 / $1,212.04	Facility		$287.83	$574.52	$1,212.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.11 / $380.03 / $380.03	Professional		$297.11	$380.03	$380.03
United Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $172.36 / $328.83	Professional		$162.24	$172.36	$328.83