Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.57 / $318.37 / $1,510.35	Professional		$229.57	$318.37	$1,510.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.43 / $854.39 / $1,114.33	Professional		$366.43	$854.39	$1,114.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $414.32 / $523.47	Facility		$318.37	$414.32	$523.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.22 / $492.06 / $549.64	Professional		$389.22	$492.06	$549.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.51 / $523.47 / $575.82	Facility		$415.51	$523.47	$575.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $415.51 / $523.47 / $537.72	Professional		$415.51	$523.47	$537.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $436.17 / $549.64	Facility		$260.88	$436.17	$549.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $458.37 / $575.82	Professional		$190.44	$458.37	$575.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.13 / $870.52 / $1,836.51	Facility		$436.13	$870.52	$1,836.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.18 / $575.82 / $575.82	Professional		$450.18	$575.82	$575.82
United Facility/Professional Professional Modifier Low / Median / High Price $192.23 / $201.20 / $383.86	Professional		$192.23	$201.20	$383.86