Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.98 / $379.97 / $416.19	Facility		$355.98	$379.97	$416.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $175.09 / $448.36	Professional		$111.81	$175.09	$448.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $1,978.96 / $2,729.49	Facility		$123.52	$1,978.96	$2,729.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $294.77 / $466.50	Professional		$146.55	$294.77	$466.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.10 / $384.11 / $443.73	Professional		$324.10	$384.11	$443.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $279.77 / $422.47	Facility		$141.13	$279.77	$422.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $277.94 / $514.41	Professional		$231.50	$277.94	$514.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.36 / $294.80 / $333.66	Facility		$206.36	$294.80	$333.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $375.99 / $511.29	Facility		$160.57	$375.99	$511.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $349.27 / $483.06	Professional		$249.49	$349.27	$483.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,298.07 / $2,994.84	Facility		$1,918.96	$2,298.07	$2,994.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $344.58 / $467.00	Professional		$280.60	$344.58	$467.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $170.23 / $475.45	Professional		$154.75	$170.23	$475.45