Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $282.82 / $1,411.04	Professional		$172.45	$282.82	$1,411.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $306.16	Professional		$223.50	$223.50	$306.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.51 / $843.03 / $1,099.52	Professional		$325.51	$843.03	$1,099.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $387.46 / $465.01	Facility		$282.82	$387.46	$465.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.74 / $437.11 / $488.26	Professional		$345.74	$437.11	$488.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.11 / $418.51 / $465.01	Facility		$369.11	$418.51	$465.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $440.21 / $465.01	Professional		$400.19	$440.21	$465.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $399.37 / $488.26	Facility		$282.82	$399.37	$488.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $407.18 / $511.51	Professional		$223.50	$407.18	$511.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $387.42 / $773.30 / $1,631.41	Facility		$387.42	$773.30	$1,631.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $511.51 / $511.51	Professional		$399.91	$511.51	$511.51
United Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $198.59 / $378.88	Professional		$189.73	$198.59	$378.88