Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $176.77 / $1,073.20	Professional		$119.10	$176.77	$1,073.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $590.91 / $770.67	Professional		$206.28	$590.91	$770.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $242.17 / $294.68	Facility		$176.77	$242.17	$294.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $277.00 / $309.41	Professional		$219.11	$277.00	$309.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.91 / $294.68 / $371.96	Facility		$233.91	$294.68	$371.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $294.68 / $371.96	Professional		$265.20	$294.68	$371.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $253.09 / $309.41	Facility		$167.72	$253.09	$309.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $258.02 / $324.14	Professional		$127.25	$258.02	$324.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.51 / $490.04 / $1,033.82	Facility		$245.51	$490.04	$1,033.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $324.14 / $324.14	Professional		$253.42	$324.14	$324.14
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $139.18 / $265.52	Professional		$131.00	$139.18	$265.52