Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $305.39 / $1,312.77	Professional		$188.51	$305.39	$1,312.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.54	Professional		$200.41	$200.41	$274.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $921.86 / $1,202.33	Professional		$351.49	$921.86	$1,202.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $418.38 / $502.13	Facility		$305.39	$418.38	$502.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $472.00 / $527.24	Professional		$373.35	$472.00	$527.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $451.92 / $502.13	Facility		$398.58	$451.92	$502.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $451.92 / $502.13	Professional		$435.12	$451.92	$502.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $431.26 / $527.24	Facility		$274.54	$431.26	$527.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $439.68 / $552.34	Professional		$200.41	$439.68	$552.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $418.34 / $835.00 / $1,761.62	Facility		$418.34	$835.00	$1,761.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $552.34 / $552.34	Professional		$431.83	$552.34	$552.34
United Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $217.07 / $414.15	Professional		$207.40	$217.07	$414.15