Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $230.30 / $1,322.56	Professional		$171.48	$230.30	$1,322.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.06 / $801.84 / $1,045.80	Professional		$265.06	$801.84	$1,045.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $331.87 / $416.52	Facility		$230.30	$331.87	$416.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.76 / $359.72 / $397.58	Professional		$278.76	$359.72	$397.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.78 / $378.65 / $470.01	Facility		$369.78	$378.65	$470.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $331.57 / $495.15	Facility		$230.30	$331.57	$495.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $331.57 / $416.52	Professional		$202.54	$331.57	$416.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $629.70 / $1,328.47	Facility		$315.48	$629.70	$1,328.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $416.52 / $416.52	Professional		$325.64	$416.52	$416.52
United Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $188.91 / $362.08	Professional		$180.49	$188.91	$362.08