Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $274.94 / $1,439.88	Professional		$189.04	$274.94	$1,439.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $311.77	Professional		$227.60	$227.60	$311.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $924.00 / $1,205.10	Professional		$316.45	$924.00	$1,205.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.94 / $376.67 / $452.07	Facility		$274.94	$376.67	$452.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $336.13 / $424.95 / $474.67	Professional		$336.13	$424.95	$474.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.84 / $437.72 / $481.49	Facility		$358.84	$437.72	$481.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $406.86 / $452.07 / $452.07	Professional		$406.86	$452.07	$452.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.94 / $393.16 / $474.67	Facility		$274.94	$393.16	$474.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $395.84 / $497.28	Professional		$227.60	$395.84	$497.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.63 / $751.76 / $1,585.97	Facility		$376.63	$751.76	$1,585.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $388.78 / $497.28 / $497.28	Professional		$388.78	$497.28	$497.28
United Facility/Professional Professional Modifier Low / Median / High Price $207.99 / $217.69 / $415.33	Professional		$207.99	$217.69	$415.33