Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $224.20 / $1,199.54	Professional		$156.08	$224.20	$1,199.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.04 / $721.58 / $941.12	Professional		$258.04	$721.58	$941.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.20 / $307.14 / $368.63	Facility		$224.20	$307.14	$368.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $331.77 / $368.63	Professional		$274.10	$331.77	$368.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.77 / $366.67 / $405.49	Facility		$331.77	$366.67	$405.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.20 / $307.14 / $368.63	Facility		$224.20	$307.14	$368.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $322.79 / $405.49	Professional		$257.41	$322.79	$405.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.70 / $405.49 / $405.49	Professional		$320.70	$405.49	$405.49
United Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $224.66 / $230.54	Facility		$224.66	$224.66	$230.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $170.01 / $324.36	Professional		$162.43	$170.01	$324.36