Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $308.75 / $1,466.35	Professional		$176.92	$308.75	$1,466.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.36 / $865.03 / $1,128.23	Professional		$355.36	$865.03	$1,128.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $419.51 / $507.65	Facility		$308.75	$419.51	$507.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.45 / $477.19 / $533.03	Professional		$377.45	$477.19	$533.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.96 / $456.89 / $507.65	Facility		$402.96	$456.89	$507.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $507.65 / $507.65	Professional		$427.42	$507.65	$507.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.36 / $432.73 / $533.03	Facility		$278.36	$432.73	$533.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $444.52 / $558.41	Professional		$218.65	$444.52	$558.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $422.95 / $844.22 / $1,781.01	Facility		$422.95	$844.22	$1,781.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.58 / $558.41 / $558.41	Professional		$436.58	$558.41	$558.41
United Facility/Professional Facility Modifier Low / Median / High Price $653.39 / $653.39 / $871.18	Facility		$653.39	$653.39	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $203.73 / $390.48	Professional		$194.65	$203.73	$390.48