Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $220.93 / $1,066.68	Professional		$133.38	$220.93	$1,066.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $265.56	Facility		$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $265.56	Professional		$193.86	$193.86	$265.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.28 / $651.97 / $850.35	Professional		$254.28	$651.97	$850.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $302.67 / $363.26	Facility		$220.93	$302.67	$363.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.11 / $341.46 / $381.42	Professional		$270.11	$341.46	$381.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.36 / $326.93 / $363.26	Facility		$288.36	$326.93	$363.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $288.36 / $363.26 / $363.26	Professional		$288.36	$363.26	$363.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $315.93 / $381.42	Facility		$220.93	$315.93	$381.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $318.08 / $399.59	Professional		$193.86	$318.08	$399.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $604.10 / $1,274.46	Facility		$302.64	$604.10	$1,274.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $399.59 / $399.59	Professional		$312.39	$399.59	$399.59
United Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $153.60 / $294.39	Professional		$146.75	$153.60	$294.39