Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $263.89 / $1,251.91	Professional		$193.66	$263.89	$1,251.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $209.36	Professional		$209.36	$209.36	$209.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $840.89 / $1,096.74	Professional		$303.73	$840.89	$1,096.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $369.88 / $433.90	Facility		$263.89	$369.88	$433.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $319.44 / $407.87 / $455.60	Professional		$319.44	$407.87	$455.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $433.90 / $477.29	Facility		$344.43	$433.90	$477.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $433.90 / $449.44	Professional		$390.51	$433.90	$449.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $379.94 / $455.60	Facility		$263.89	$379.94	$455.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $379.94 / $477.29	Professional		$209.36	$379.94	$477.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.50 / $721.56 / $1,522.27	Facility		$361.50	$721.56	$1,522.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $373.15 / $477.29 / $477.29	Professional		$373.15	$477.29	$477.29
United Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $198.13 / $378.01	Professional		$189.30	$198.13	$378.01