Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $308.16 / $1,673.20	Professional		$188.43	$308.16	$1,673.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $271.77	Professional		$198.39	$198.39	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $921.15 / $1,201.42	Professional		$354.68	$921.15	$1,201.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.16 / $422.18 / $506.69	Facility		$308.16	$422.18	$506.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.73 / $476.29 / $532.02	Professional		$376.73	$476.29	$532.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.18 / $506.69 / $557.36	Facility		$402.18	$506.69	$557.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $506.69 / $537.91	Professional		$402.18	$506.69	$537.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.48 / $435.16 / $532.02	Facility		$261.48	$435.16	$532.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $443.67 / $557.36	Professional		$198.39	$443.67	$557.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $422.14 / $842.60 / $1,777.61	Facility		$422.14	$842.60	$1,777.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $435.75 / $557.36 / $557.36	Professional		$435.75	$557.36	$557.36
United Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $216.98 / $413.98	Professional		$207.31	$216.98	$413.98