Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $336.15 / $1,789.24	Professional		$198.57	$336.15	$1,789.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $290.63	Professional		$212.16	$212.16	$290.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.26 / $985.06 / $1,284.79	Professional		$392.26	$985.06	$1,284.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.15 / $460.53 / $560.37	Facility		$336.15	$460.53	$560.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.66 / $526.75 / $588.39	Professional		$416.66	$526.75	$588.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.81 / $504.33 / $560.37	Facility		$444.81	$504.33	$560.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $444.81 / $511.61 / $560.37	Professional		$444.81	$511.61	$560.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $477.68 / $588.39	Facility		$290.63	$477.68	$588.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $490.68 / $616.41	Professional		$212.16	$490.68	$616.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $466.87 / $931.88 / $1,965.96	Facility		$466.87	$931.88	$1,965.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.92 / $616.41 / $616.41	Professional		$481.92	$616.41	$616.41
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $218.42 / $232.04 / $444.74	Professional		$218.42	$232.04	$444.74