Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $169.53 / $902.20	Professional		$113.07	$169.53	$902.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $552.54 / $720.67	Professional		$195.11	$552.54	$720.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $233.91 / $278.73	Facility		$169.53	$233.91	$278.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $262.01 / $292.67	Professional		$207.27	$262.01	$292.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $260.99 / $287.08	Facility		$221.28	$260.99	$287.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $250.86 / $278.73 / $278.73	Professional		$250.86	$278.73	$278.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $242.43 / $292.67	Facility		$169.53	$242.43	$292.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $244.07 / $306.60	Professional		$164.32	$244.07	$306.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.23 / $463.54 / $977.89	Facility		$232.23	$463.54	$977.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $306.60 / $306.60	Professional		$239.71	$306.60	$306.60
United Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $172.06 / $172.06	Facility		$172.06	$172.06	$172.06
United Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $130.21 / $249.56	Professional		$124.40	$130.21	$249.56