Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $223.62 / $1,421.69	Professional		$157.78	$223.62	$1,421.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $782.66 / $1,020.77	Professional		$260.95	$782.66	$1,020.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.62 / $306.36 / $379.42	Facility		$223.62	$306.36	$379.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.18 / $350.43 / $391.44	Professional		$277.18	$350.43	$391.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.91 / $372.80 / $444.83	Facility		$295.91	$372.80	$444.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $354.16 / $372.80 / $444.83	Professional		$354.16	$372.80	$444.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.18 / $320.17 / $391.44	Facility		$222.18	$320.17	$391.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $326.43 / $410.08	Professional		$168.57	$326.43	$410.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $619.94 / $1,307.86	Facility		$310.58	$619.94	$1,307.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.61 / $410.08 / $410.08	Professional		$320.61	$410.08	$410.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $184.37 / $353.37	Professional		$173.54	$184.37	$353.37