Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $309.03	Professional		$169.82	$218.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,023.29	Facility		$426.58	$426.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $933.25 / $933.25	Professional		$316.23	$933.25	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $537.03	Professional		$398.11	$436.52	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $645.65	Facility		$186.21	$371.54	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $371.54	Professional		$173.78	$223.87	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $398.11	Facility		$234.42	$331.13	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $676.08	Facility		$223.87	$416.87	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $933.25	Professional		$316.23	$407.38	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,584.89	Facility		$1,000.00	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $537.03	Professional		$323.59	$426.58	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,737.80	Facility		$1,047.13	$1,318.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,047.13	Professional		$316.23	$446.68	$1,047.13