Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $297.06 / $1,056.93	Professional		$163.12	$297.06	$1,056.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.89 / $775.56 / $1,011.53	Professional		$341.89	$775.56	$1,011.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.74 / $376.45 / $488.42	Facility		$274.74	$376.45	$488.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.17 / $439.58 / $488.42	Professional		$363.17	$439.58	$488.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.58 / $476.98 / $537.26	Facility		$439.58	$476.98	$537.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $388.01 / $388.01	Professional		$388.01	$388.01	$388.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.23 / $367.06 / $488.42	Facility		$220.23	$367.06	$488.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $427.68 / $537.26	Professional		$194.57	$427.68	$537.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $424.93 / $537.26 / $537.26	Professional		$424.93	$537.26	$537.26
United Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $182.75 / $348.67	Professional		$174.61	$182.75	$348.67