Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $338.53 / $1,609.46	Professional		$181.25	$338.53	$1,609.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $360.86	Professional		$263.43	$263.43	$360.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.63 / $886.34 / $1,156.01	Professional		$389.63	$886.34	$1,156.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $440.73 / $556.61	Facility		$313.77	$440.73	$556.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.87 / $523.21 / $584.44	Professional		$413.87	$523.21	$584.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.84 / $500.95 / $556.61	Facility		$441.84	$500.95	$556.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $556.61 / $571.28	Professional		$457.02	$556.61	$571.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.50 / $474.47 / $584.44	Facility		$332.50	$474.47	$584.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $487.39 / $612.27	Professional		$263.43	$487.39	$612.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $463.74 / $925.62 / $1,952.78	Facility		$463.74	$925.62	$1,952.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.68 / $612.27 / $612.27	Professional		$478.68	$612.27	$612.27
United Facility/Professional Professional Modifier Low / Median / High Price $199.42 / $208.72 / $398.21	Professional		$199.42	$208.72	$398.21