Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $275.50 / $1,456.46	Professional		$161.63	$275.50	$1,456.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.49 / $801.84 / $1,045.80	Professional		$321.49	$801.84	$1,045.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $377.44 / $459.27	Facility		$275.45	$377.44	$459.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.49 / $431.71 / $459.27	Professional		$341.49	$431.71	$459.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.56 / $413.34 / $459.27	Facility		$364.56	$413.34	$459.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $416.45 / $459.27	Professional		$378.59	$416.45	$459.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.10 / $391.49 / $482.23	Facility		$230.10	$391.49	$482.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $402.15 / $505.20	Professional		$172.70	$402.15	$505.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $382.64 / $763.76 / $1,611.25	Facility		$382.64	$763.76	$1,611.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $505.20 / $505.20	Professional		$394.97	$505.20	$505.20
United Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $188.88 / $360.35	Professional		$177.79	$188.88	$360.35