Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $279.00 / $1,323.56	Professional		$204.71	$279.00	$1,323.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $889.19 / $1,159.72	Professional		$321.11	$889.19	$1,159.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $382.23 / $458.73	Facility		$279.00	$382.23	$458.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $431.21 / $481.67	Professional		$341.09	$431.21	$481.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $412.86 / $458.73 / $522.65	Facility		$412.86	$458.73	$522.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $393.98 / $481.67	Facility		$279.00	$393.98	$481.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $401.68 / $504.60	Professional		$214.82	$401.68	$504.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $382.19 / $762.86 / $1,609.37	Facility		$382.19	$762.86	$1,609.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $394.51 / $504.60 / $504.60	Professional		$394.51	$504.60	$504.60
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $284.05	Facility		$276.79	$276.79	$284.05
United Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $209.46 / $399.63	Professional		$200.12	$209.46	$399.63