Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $340.71 / $1,226.02	Professional		$187.62	$340.71	$1,226.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $373.38	Facility		$373.38	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $355.55	Professional		$317.37	$317.37	$355.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $889.91 / $1,160.66	Professional		$392.13	$889.91	$1,160.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.11 / $431.39 / $560.19	Facility		$315.11	$431.39	$560.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.52 / $504.17 / $560.19	Professional		$416.52	$504.17	$560.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.17 / $547.05 / $616.21	Facility		$504.17	$547.05	$616.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.59 / $420.98 / $560.19	Facility		$252.59	$420.98	$560.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $490.52 / $616.21	Professional		$317.37	$490.52	$616.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $616.21 / $616.21	Professional		$487.37	$616.21	$616.21
United Facility/Professional Professional Modifier Low / Median / High Price $200.26 / $209.60 / $401.74	Professional		$200.26	$209.60	$401.74