Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $300.58 / $1,425.96	Professional		$176.15	$300.58	$1,425.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $785.49 / $1,024.48	Professional		$345.96	$785.49	$1,024.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.58 / $384.76 / $494.23	Facility		$300.58	$384.76	$494.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $464.58 / $518.94	Professional		$367.48	$464.58	$518.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.31 / $482.65 / $540.54	Facility		$392.31	$482.65	$540.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $476.05 / $494.23 / $543.65	Professional		$476.05	$494.23	$543.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $421.29 / $518.94	Facility		$239.78	$421.29	$518.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $432.77 / $543.65	Professional		$175.04	$432.77	$543.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $411.77 / $821.88 / $1,733.94	Facility		$411.77	$821.88	$1,733.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $543.65 / $543.65	Professional		$425.04	$543.65	$543.65
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $184.93 / $352.81	Professional		$176.68	$184.93	$352.81