Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $290.99 / $1,494.53	Professional		$181.43	$290.99	$1,494.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.91 / $887.06 / $1,156.95	Professional		$334.91	$887.06	$1,156.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $407.83 / $478.44	Facility		$290.99	$407.83	$478.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $449.73 / $502.36	Professional		$355.74	$449.73	$502.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $478.44 / $555.44	Facility		$379.78	$478.44	$555.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $478.44 / $555.44	Professional		$380.08	$478.44	$555.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $418.94 / $502.36	Facility		$290.99	$418.94	$502.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $418.94 / $526.28	Professional		$238.86	$418.94	$526.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.61 / $795.62 / $1,678.53	Facility		$398.61	$795.62	$1,678.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.46 / $526.28 / $526.28	Professional		$411.46	$526.28	$526.28
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $276.08 / $283.32	Facility		$276.08	$276.08	$283.32
United Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $208.93 / $398.61	Professional		$199.61	$208.93	$398.61