Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $289.54 / $1,590.75	Professional		$180.15	$289.54	$1,590.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $877.84 / $1,144.90	Professional		$333.25	$877.84	$1,144.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $396.67 / $476.07	Facility		$289.54	$396.67	$476.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.97 / $447.51 / $499.87	Professional		$353.97	$447.51	$499.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $428.46 / $517.89	Facility		$377.89	$428.46	$517.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $377.89 / $455.74 / $523.67	Professional		$377.89	$455.74	$523.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.14 / $408.86 / $499.87	Facility		$255.14	$408.86	$499.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $416.86 / $523.67	Professional		$200.41	$416.86	$523.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $396.63 / $791.68 / $1,670.19	Facility		$396.63	$791.68	$1,670.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $409.42 / $523.67 / $523.67	Professional		$409.42	$523.67	$523.67
United Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $206.69 / $394.34	Professional		$197.48	$206.69	$394.34