Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $247.18 / $309.27	Professional		$169.37	$247.18	$309.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $264.44 / $264.44	Facility		$264.44	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $264.44	Professional		$193.04	$193.04	$264.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $871.45 / $1,136.57	Professional		$288.08	$871.45	$1,136.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $338.21 / $422.48	Facility		$246.87	$338.21	$422.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $386.86 / $432.13	Professional		$306.00	$386.86	$432.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.68 / $411.52 / $452.71	Facility		$326.68	$411.52	$452.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $411.55 / $421.40	Professional		$326.68	$411.55	$421.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $353.46 / $432.13	Facility		$246.87	$353.46	$432.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $360.37 / $452.71	Professional		$193.04	$360.37	$452.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $342.88 / $684.40 / $1,443.86	Facility		$342.88	$684.40	$1,443.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $452.71 / $452.71	Professional		$353.93	$452.71	$452.71
United Facility/Professional Professional Modifier Low / Median / High Price $193.27 / $205.32 / $391.72	Professional		$193.27	$205.32	$391.72