Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $216.21 / $1,252.91	Professional		$141.10	$216.21	$1,252.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $689.63 / $899.45	Professional		$248.85	$689.63	$899.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $296.20 / $355.50	Facility		$216.21	$296.20	$355.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.32 / $334.17 / $373.28	Professional		$264.32	$334.17	$373.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.18 / $355.50 / $434.25	Facility		$282.18	$355.50	$434.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $355.50 / $434.25	Professional		$302.18	$355.50	$434.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.80 / $309.18 / $373.28	Facility		$195.80	$309.18	$373.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $311.29 / $391.05	Professional		$148.56	$311.29	$391.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $296.18 / $591.17 / $1,247.21	Facility		$296.18	$591.17	$1,247.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.73 / $391.05 / $391.05	Professional		$305.73	$391.05	$391.05
United Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $162.47 / $309.99	Professional		$155.24	$162.47	$309.99