Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $216.11 / $818.37	Professional		$125.66	$216.11	$818.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $564.61 / $736.40	Professional		$248.73	$564.61	$736.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.11 / $273.98 / $355.33	Facility		$216.11	$273.98	$355.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $334.01 / $373.10	Professional		$264.20	$334.01	$373.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.05 / $327.61 / $360.37	Facility		$282.05	$327.61	$360.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $355.33 / $360.37	Professional		$319.80	$355.33	$360.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.02 / $302.89 / $373.10	Facility		$178.02	$302.89	$373.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $311.14 / $390.86	Professional		$121.56	$311.14	$390.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $590.90 / $1,246.60	Facility		$296.04	$590.90	$1,246.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $390.86 / $390.86	Professional		$305.58	$390.86	$390.86
United Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $132.94 / $253.66	Professional		$127.03	$132.94	$253.66