Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.50 / $204.70 / $1,269.01	Professional		$177.50	$204.70	$1,269.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $229.50	Professional		$167.54	$167.54	$229.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $721.58 / $941.12	Professional		$238.57	$721.58	$941.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.44 / $290.51 / $349.72	Facility		$204.44	$290.51	$349.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $320.36 / $340.81	Professional		$253.40	$320.36	$340.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.52 / $332.82 / $374.89	Facility		$270.52	$332.82	$374.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $340.81 / $340.81	Professional		$270.74	$340.81	$340.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.44 / $298.43 / $357.85	Facility		$204.44	$298.43	$357.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $298.43 / $374.89	Professional		$167.54	$298.43	$374.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $566.76 / $1,195.69	Facility		$283.95	$566.76	$1,195.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $374.89 / $374.89	Professional		$293.10	$374.89	$374.89
United Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $170.03 / $324.39	Professional		$161.80	$170.03	$324.39