Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $226.81 / $1,075.98	Professional		$121.18	$226.81	$1,075.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $592.30 / $772.54	Professional		$261.05	$592.30	$772.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.81 / $287.35 / $372.93	Facility		$226.81	$287.35	$372.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $345.97 / $372.93	Professional		$274.52	$345.97	$372.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $321.06 / $372.93	Facility		$276.95	$321.06	$372.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $372.93 / $372.93	Professional		$283.60	$372.93	$372.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $310.73 / $391.58	Facility		$174.77	$310.73	$391.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $326.54 / $410.22	Professional		$127.58	$326.54	$410.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $310.70 / $620.16 / $1,308.32	Facility		$310.70	$620.16	$1,308.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.72 / $410.22 / $410.22	Professional		$320.72	$410.22	$410.22
United Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $139.54 / $273.14	Professional		$133.31	$139.54	$273.14