Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $245.89 / $1,166.48	Professional		$180.43	$245.89	$1,166.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $267.94	Professional		$195.60	$195.60	$267.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $784.09 / $1,022.64	Professional		$283.01	$784.09	$1,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.89 / $344.62 / $404.30	Facility		$245.89	$344.62	$404.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $380.04 / $424.52	Professional		$300.60	$380.04	$424.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.87 / $404.30 / $460.66	Facility		$363.87	$404.30	$460.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $321.17 / $321.17	Professional		$321.17	$321.17	$321.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.89 / $354.01 / $424.52	Facility		$245.89	$354.01	$424.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $354.01 / $444.73	Professional		$195.60	$354.01	$444.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $672.32 / $1,418.38	Facility		$336.83	$672.32	$1,418.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $444.73 / $444.73	Professional		$347.70	$444.73	$444.73
United Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $184.60 / $352.20	Professional		$176.37	$184.60	$352.20