Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $183.28 / $1,158.59	Professional		$128.58	$183.28	$1,158.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $637.76 / $831.82	Professional		$213.87	$637.76	$831.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.28 / $251.09 / $308.88	Facility		$183.28	$251.09	$308.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.16 / $287.20 / $320.81	Professional		$227.16	$287.20	$320.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.51 / $298.37 / $331.29	Facility		$242.51	$298.37	$331.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $274.98 / $301.17 / $305.52	Professional		$274.98	$301.17	$305.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $262.39 / $320.81	Facility		$181.06	$262.39	$320.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $267.52 / $336.08	Professional		$137.38	$267.52	$336.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.55 / $508.08 / $1,071.89	Facility		$254.55	$508.08	$1,071.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $336.08 / $336.08	Professional		$262.76	$336.08	$336.08
United Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $150.25 / $286.66	Professional		$141.43	$150.25	$286.66