Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $245.94 / $1,166.68	Professional		$175.19	$245.94	$1,166.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $856.53 / $1,117.11	Professional		$283.06	$856.53	$1,117.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $344.69 / $425.79	Facility		$245.94	$344.69	$425.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $363.93 / $404.37	Professional		$300.66	$363.93	$404.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.93 / $404.37 / $531.57	Facility		$363.93	$404.37	$531.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $336.94 / $404.37	Facility		$245.94	$336.94	$404.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $354.08 / $444.81	Professional		$194.10	$354.08	$444.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $444.81 / $444.81	Professional		$351.80	$444.81	$444.81
United Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $201.73 / $386.65	Professional		$192.74	$201.73	$386.65