Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $179.44 / $860.91	Professional		$111.90	$179.44	$860.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $169.96	Professional		$124.07	$124.07	$169.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $473.71 / $617.83	Professional		$206.54	$473.71	$617.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.84 / $229.43 / $295.05	Facility		$167.84	$229.43	$295.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $277.35 / $309.80	Professional		$219.37	$277.35	$309.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.54 / $246.17 / $295.05	Facility		$218.54	$246.17	$295.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $295.05 / $295.05	Professional		$223.79	$295.05	$295.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.01 / $246.18 / $309.80	Facility		$148.01	$246.18	$309.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $258.35 / $324.56	Professional		$124.07	$258.35	$324.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.81 / $490.64 / $1,035.10	Facility		$245.81	$490.64	$1,035.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $324.56 / $324.56	Professional		$253.74	$324.56	$324.56
United Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $111.65 / $213.01	Professional		$106.67	$111.65	$213.01