Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $367.81 / $1,769.11	Professional		$196.33	$367.81	$1,769.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.21 / $974.41 / $1,270.86	Professional		$429.21	$974.41	$1,270.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.26 / $472.23 / $613.16	Facility		$349.26	$472.23	$613.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $576.37 / $613.16	Professional		$455.91	$576.37	$613.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.80 / $528.05 / $613.16	Facility		$468.80	$528.05	$613.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $613.16 / $613.16	Professional		$480.05	$613.16	$613.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.20 / $503.90 / $643.82	Facility		$307.20	$503.90	$643.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $536.90 / $674.48	Professional		$257.36	$536.90	$674.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $510.85 / $1,019.66 / $2,151.14	Facility		$510.85	$1,019.66	$2,151.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.32 / $674.48 / $674.48	Professional		$527.32	$674.48	$674.48
United Facility/Professional Professional Modifier Low / Median / High Price $215.96 / $229.42 / $437.71	Professional		$215.96	$229.42	$437.71