Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $146.10 / $753.79	Professional		$100.28	$146.10	$753.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $474.43 / $618.77	Professional		$168.15	$474.43	$618.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $200.16 / $240.22	Facility		$146.10	$200.16	$240.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $225.81 / $252.23	Professional		$178.61	$225.81	$252.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.68 / $240.22 / $264.25	Facility		$190.68	$240.22	$264.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $240.22 / $264.25	Professional		$216.20	$240.22	$264.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $206.30 / $252.23	Facility		$146.10	$206.30	$252.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $210.35 / $264.24	Professional		$116.23	$210.35	$264.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $399.48 / $842.79	Facility		$200.14	$399.48	$842.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $264.24 / $264.24	Professional		$206.59	$264.24	$264.24
United Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $111.70 / $218.64	Professional		$106.72	$111.70	$218.64