Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $212.58 / $1,008.49	Professional		$156.01	$212.58	$1,008.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $231.66	Professional		$169.11	$169.11	$231.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $677.56 / $883.69	Professional		$244.67	$677.56	$883.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $297.95 / $349.53	Facility		$212.58	$297.95	$349.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $328.56 / $367.01	Professional		$259.89	$328.56	$367.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.58 / $349.53 / $398.26	Facility		$314.58	$349.53	$398.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $306.06 / $367.01	Facility		$212.58	$306.06	$367.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $306.06 / $384.48	Professional		$169.11	$306.06	$384.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $581.26 / $1,226.26	Facility		$291.20	$581.26	$1,226.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $384.48 / $384.48	Professional		$300.60	$384.48	$384.48
United Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $159.61 / $304.50	Professional		$152.49	$159.61	$304.50