Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $219.64 / $1,041.97	Professional		$161.16	$219.64	$1,041.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $700.27 / $913.34	Professional		$252.79	$700.27	$913.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $307.83 / $361.13	Facility		$219.64	$307.83	$361.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $339.46 / $379.19	Professional		$268.52	$339.46	$379.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $361.13 / $411.48	Facility		$325.02	$361.13	$411.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $316.22 / $379.19	Facility		$219.64	$316.22	$379.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $316.22 / $397.24	Professional		$174.73	$316.22	$397.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $300.88 / $600.55 / $1,266.97	Facility		$300.88	$600.55	$1,266.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.57 / $397.24 / $397.24	Professional		$310.57	$397.24	$397.24
United Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $164.90 / $314.60	Professional		$157.55	$164.90	$314.60