Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $317.18 / $1,484.95	Professional		$195.34	$317.18	$1,484.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $315.70	Professional		$230.47	$230.47	$315.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $933.22 / $1,217.15	Professional		$365.06	$933.22	$1,217.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $434.54 / $521.51	Facility		$317.18	$434.54	$521.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.76 / $490.22 / $547.59	Professional		$387.76	$490.22	$547.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $413.96 / $469.36 / $547.59	Facility		$413.96	$469.36	$547.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $521.51 / $573.66	Professional		$440.72	$521.51	$573.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $447.90 / $547.59	Facility		$293.42	$447.90	$547.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $456.65 / $573.66	Professional		$230.47	$456.65	$573.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $867.24 / $1,829.61	Facility		$434.49	$867.24	$1,829.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $573.66 / $573.66	Professional		$448.50	$573.66	$573.66
United Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $219.87 / $421.42	Professional		$210.07	$219.87	$421.42