Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.39 / $286.17 / $1,627.29	Professional		$194.39	$286.17	$1,627.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $293.77	Professional		$214.45	$214.45	$293.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.36 / $896.30 / $1,168.99	Professional		$329.36	$896.30	$1,168.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.17 / $392.05 / $470.51	Facility		$286.17	$392.05	$470.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.86 / $442.28 / $494.04	Professional		$349.86	$442.28	$494.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $470.51 / $528.40	Facility		$373.50	$470.51	$528.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $470.51 / $528.40	Professional		$373.50	$470.51	$528.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.17 / $404.11 / $494.04	Facility		$286.17	$404.11	$494.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $412.00 / $517.55	Professional		$214.45	$412.00	$517.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $392.01 / $782.46 / $1,650.72	Facility		$392.01	$782.46	$1,650.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $517.55 / $517.55	Professional		$404.64	$517.55	$517.55
United Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $902.40	Facility		$676.80	$676.80	$902.40
United Facility/Professional Professional Modifier Low / Median / High Price $201.62 / $211.03 / $402.62	Professional		$201.62	$211.03	$402.62