Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $231.99 / $1,100.55	Professional		$165.25	$231.99	$1,100.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $248.05	Professional		$181.08	$181.08	$248.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $808.23 / $1,054.13	Professional		$267.00	$808.23	$1,054.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.99 / $317.83 / $391.30	Facility		$231.99	$317.83	$391.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $353.87 / $400.50	Professional		$283.61	$353.87	$400.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.76 / $372.49 / $419.57	Facility		$302.76	$372.49	$419.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $381.43 / $381.43	Professional		$343.29	$381.43	$381.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.32 / $333.99 / $400.50	Facility		$229.32	$333.99	$400.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $333.99 / $419.57	Professional		$181.08	$333.99	$419.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $317.79 / $634.32 / $1,338.16	Facility		$317.79	$634.32	$1,338.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $419.57 / $419.57	Professional		$328.03	$419.57	$419.57
United Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $190.30 / $363.05	Professional		$181.81	$190.30	$363.05