Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $235.56 / $1,091.58	Professional		$155.05	$235.56	$1,091.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $297.81	Professional		$217.40	$217.40	$297.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $757.81 / $988.37	Professional		$271.12	$757.81	$988.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $322.72 / $387.31	Facility		$235.56	$322.72	$387.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.97 / $364.07 / $406.68	Professional		$287.97	$364.07	$406.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $307.44 / $387.31 / $477.20	Facility		$307.44	$387.31	$477.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $387.31 / $477.20	Professional		$348.58	$387.31	$477.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $336.85 / $406.68	Facility		$235.56	$336.85	$406.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $339.14 / $426.04	Professional		$217.40	$339.14	$426.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $644.08 / $1,358.80	Facility		$322.68	$644.08	$1,358.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $426.04 / $426.04	Professional		$333.09	$426.04	$426.04
United Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $178.55 / $340.65	Professional		$170.59	$178.55	$340.65