Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $225.12 / $1,219.67	Professional		$145.83	$225.12	$1,219.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $671.86 / $876.29	Professional		$262.70	$671.86	$876.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $308.41 / $375.29	Facility		$225.12	$308.41	$375.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $352.77 / $394.05	Professional		$279.02	$352.77	$394.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $337.76 / $375.29	Facility		$297.89	$337.76	$375.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $317.05 / $375.29 / $375.29	Professional		$317.05	$375.29	$375.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $321.92 / $394.05	Facility		$190.62	$321.92	$394.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $328.61 / $412.82	Professional		$149.72	$328.61	$412.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $312.66 / $624.08 / $1,316.61	Facility		$312.66	$624.08	$1,316.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $322.75 / $412.82 / $412.82	Professional		$322.75	$412.82	$412.82
United Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $158.16 / $301.77	Professional		$148.88	$158.16	$301.77