Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $173.65 / $1,071.22	Professional		$120.64	$173.65	$1,071.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $589.49 / $768.83	Professional		$199.86	$589.49	$768.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $237.90 / $293.82	Facility		$173.65	$237.90	$293.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.31 / $268.39 / $299.80	Professional		$212.31	$268.39	$299.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $285.52 / $314.07	Facility		$226.65	$285.52	$314.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $285.52 / $294.91	Professional		$285.52	$285.52	$294.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $248.32 / $299.80	Facility		$173.65	$248.32	$299.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $250.01 / $314.07	Professional		$129.68	$250.01	$314.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.88 / $474.82 / $1,001.69	Facility		$237.88	$474.82	$1,001.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.55 / $314.07 / $314.07	Professional		$245.55	$314.07	$314.07
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $138.91 / $265.04	Professional		$132.72	$138.91	$265.04