Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $258.83 / $1,104.33	Professional		$172.35	$258.83	$1,104.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $228.28	Professional		$166.64	$166.64	$228.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $774.13 / $1,009.66	Professional		$297.89	$774.13	$1,009.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $354.60 / $425.56	Facility		$258.83	$354.60	$425.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $394.81 / $425.56	Professional		$316.42	$394.81	$425.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.79 / $425.56 / $468.12	Facility		$337.79	$425.56	$468.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $425.56 / $425.56 / $490.60	Professional		$425.56	$425.56	$490.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.63 / $365.48 / $446.84	Facility		$219.63	$365.48	$446.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $372.64 / $468.12	Professional		$166.64	$372.64	$468.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.56 / $707.70 / $1,493.02	Facility		$354.56	$707.70	$1,493.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $468.12 / $468.12	Professional		$365.98	$468.12	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $174.13 / $182.26 / $347.72	Professional		$174.13	$182.26	$347.72