Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $264.38 / $1,254.20	Professional		$188.33	$264.38	$1,254.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $281.20	Professional		$205.28	$205.28	$281.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $920.44 / $1,200.49	Professional		$304.29	$920.44	$1,200.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.38 / $362.20 / $446.24	Facility		$264.38	$362.20	$446.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $403.28 / $456.44	Professional		$323.20	$403.28	$456.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.06 / $434.70 / $579.60	Facility		$345.06	$434.70	$579.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $434.70 / $579.60	Professional		$391.23	$434.70	$579.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $380.64 / $456.44	Facility		$261.33	$380.64	$456.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $380.64 / $478.17	Professional		$205.28	$380.64	$478.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $362.17 / $722.88 / $1,525.07	Facility		$362.17	$722.88	$1,525.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $373.84 / $478.17 / $478.17	Professional		$373.84	$478.17	$478.17
United Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $216.86 / $413.75	Professional		$206.37	$216.86	$413.75