Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $257.45 / $1,404.52	Professional		$158.16	$257.45	$1,404.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.32 / $773.42 / $1,008.75	Professional		$296.32	$773.42	$1,008.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $352.71 / $423.31	Facility		$257.45	$352.71	$423.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.75 / $397.91 / $423.31	Professional		$314.75	$397.91	$423.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $423.31 / $486.80	Facility		$336.03	$423.31	$486.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $423.31 / $486.80	Professional		$380.98	$423.31	$486.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.39 / $363.58 / $444.48	Facility		$244.39	$363.58	$444.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $370.66 / $465.64	Professional		$200.49	$370.66	$465.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $352.67 / $703.94 / $1,485.09	Facility		$352.67	$703.94	$1,485.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.05 / $465.64 / $465.64	Professional		$364.05	$465.64	$465.64
United Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $182.14 / $347.51	Professional		$174.02	$182.14	$347.51