Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.57 / $216.53 / $1,012.86	Professional		$144.57	$216.53	$1,012.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $706.66 / $921.67	Professional		$249.21	$706.66	$921.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.53 / $296.64 / $356.02	Facility		$216.53	$296.64	$356.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $334.66 / $373.82	Professional		$264.72	$334.66	$373.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $333.68 / $367.05	Facility		$282.60	$333.68	$367.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $282.60 / $333.68 / $356.02	Professional		$282.60	$333.68	$356.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $305.77 / $373.82	Facility		$209.59	$305.77	$373.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $311.75 / $391.62	Professional		$153.00	$311.75	$391.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $296.62 / $592.05 / $1,249.06	Facility		$296.62	$592.05	$1,249.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.18 / $391.62 / $391.62	Professional		$306.18	$391.62	$391.62
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $219.98 / $225.75	Facility		$219.98	$219.98	$225.75
United Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $166.47 / $317.61	Professional		$159.05	$166.47	$317.61