Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $217.33 / $1,328.66	Professional		$150.22	$217.33	$1,328.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $734.36 / $957.79	Professional		$250.12	$734.36	$957.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $297.74 / $365.20	Facility		$217.33	$297.74	$365.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.70 / $335.88 / $375.19	Professional		$265.70	$335.88	$375.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.64 / $346.74 / $393.05	Facility		$283.64	$346.74	$393.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $303.72 / $357.32 / $393.05	Professional		$303.72	$357.32	$393.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.33 / $310.77 / $375.19	Facility		$217.33	$310.77	$375.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $312.89 / $393.05	Professional		$170.08	$312.89	$393.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.70 / $594.24 / $1,253.63	Facility		$297.70	$594.24	$1,253.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $393.05 / $393.05	Professional		$307.30	$393.05	$393.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $172.98 / $330.03	Professional		$165.27	$172.98	$330.03