Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $249.58 / $1,562.89	Professional		$203.13	$249.58	$1,562.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.26 / $860.78 / $1,122.68	Professional		$287.26	$860.78	$1,122.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $341.92 / $417.29	Facility		$249.58	$341.92	$417.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $305.12 / $385.75 / $430.89	Professional		$305.12	$385.75	$430.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.74 / $400.75 / $446.89	Facility		$325.74	$400.75	$446.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $410.37 / $434.99	Professional		$369.33	$410.37	$434.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $356.90 / $430.89	Facility		$249.58	$356.90	$430.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $359.33 / $451.41	Professional		$204.89	$359.33	$451.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $341.89 / $682.42 / $1,439.69	Facility		$341.89	$682.42	$1,439.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $451.41 / $451.41	Professional		$352.92	$451.41	$451.41
United Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $202.68 / $388.47	Professional		$193.64	$202.68	$388.47