Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $180.08 / $854.28	Professional		$96.21	$180.08	$854.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $470.17 / $613.21	Professional		$207.26	$470.17	$613.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.79 / $227.95 / $296.08	Facility		$177.79	$227.95	$296.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.15 / $278.32 / $310.89	Professional		$220.15	$278.32	$310.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $244.28 / $296.08	Facility		$216.86	$244.28	$296.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $222.07 / $281.29 / $296.08	Professional		$222.07	$281.29	$296.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $246.71 / $310.89	Facility		$142.16	$246.71	$310.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $259.27 / $325.70	Professional		$101.29	$259.27	$325.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.69 / $492.38 / $1,038.79	Facility		$246.69	$492.38	$1,038.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $325.70 / $325.70	Professional		$254.64	$325.70	$325.70
United Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $355.31 / $473.74	Facility		$355.31	$355.31	$473.74
United Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $110.79 / $211.37	Professional		$105.85	$110.79	$211.37