Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $291.64 / $1,402.71	Professional		$213.80	$291.64	$1,402.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $278.04	Professional		$202.97	$202.97	$278.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $942.46 / $1,229.20	Professional		$340.32	$942.46	$1,229.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.64 / $414.40 / $534.79	Facility		$291.64	$414.40	$534.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $457.00 / $510.48	Professional		$361.48	$457.00	$510.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.90 / $486.17 / $553.91	Facility		$385.90	$486.17	$553.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $486.17 / $534.79	Professional		$386.21	$486.17	$534.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $425.71 / $510.48	Facility		$278.04	$425.71	$510.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $425.71 / $534.79	Professional		$202.97	$425.71	$534.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $405.05 / $808.48 / $1,705.65	Facility		$405.05	$808.48	$1,705.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $534.79 / $534.79	Professional		$418.11	$534.79	$534.79
United Facility/Professional Facility Modifier Low / Median / High Price $220.01 / $220.01 / $284.23	Facility		$220.01	$220.01	$284.23
United Facility/Professional Professional Modifier Low / Median / High Price $211.24 / $221.99 / $434.54	Professional		$211.24	$221.99	$434.54