Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $202.37 / $960.05	Professional		$148.49	$202.37	$960.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $220.51	Professional		$160.97	$160.97	$220.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $649.14 / $846.64	Professional		$232.92	$649.14	$846.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.37 / $277.25 / $332.74	Facility		$202.37	$277.25	$332.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.41 / $312.77 / $349.38	Professional		$247.41	$312.77	$349.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.13 / $332.74 / $366.01	Facility		$264.13	$332.74	$366.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $299.47 / $332.74 / $343.52	Professional		$299.47	$332.74	$343.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.37 / $285.77 / $349.38	Facility		$202.37	$285.77	$349.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $291.36 / $366.01	Professional		$160.97	$291.36	$366.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $277.22 / $553.34 / $1,167.35	Facility		$277.22	$553.34	$1,167.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.16 / $366.01 / $366.01	Professional		$286.16	$366.01	$366.01
United Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $152.90 / $291.70	Professional		$146.08	$152.90	$291.70