Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $273.07 / $1,377.35	Professional		$152.86	$273.07	$1,377.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $227.07	Professional		$165.76	$165.76	$227.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.64 / $758.50 / $989.28	Professional		$318.64	$758.50	$989.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.07 / $367.54 / $455.22	Facility		$273.07	$367.54	$455.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.48 / $427.91 / $477.98	Professional		$338.48	$427.91	$477.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.34 / $455.22 / $500.74	Facility		$361.34	$455.22	$500.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $409.70 / $455.22 / $477.38	Professional		$409.70	$455.22	$477.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.07 / $388.04 / $477.98	Facility		$228.07	$388.04	$477.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $398.60 / $500.74	Professional		$165.76	$398.60	$500.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $379.26 / $757.00 / $1,597.03	Facility		$379.26	$757.00	$1,597.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.49 / $500.74 / $500.74	Professional		$391.49	$500.74	$500.74
United Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $178.62 / $340.78	Professional		$168.13	$178.62	$340.78