Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.02 / $291.17 / $321.25	Facility		$284.02	$291.17	$321.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $188.83 / $344.08	Professional		$86.59	$188.83	$344.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.62 / $1,498.71 / $2,135.94	Facility		$82.62	$1,498.71	$2,135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $285.33 / $448.04	Professional		$187.66	$285.33	$448.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $299.48 / $344.65	Professional		$253.14	$299.48	$344.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $258.70 / $653.60	Facility		$113.84	$258.70	$653.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.16 / $291.89 / $502.11	Professional		$211.16	$291.89	$502.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.12 / $257.95 / $535.14	Facility		$211.12	$257.95	$535.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $327.08 / $635.55	Facility		$143.54	$327.08	$635.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $304.05 / $388.44	Professional		$227.80	$304.05	$388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.74 / $1,990.85 / $2,604.89	Facility		$1,689.74	$1,990.85	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $290.08 / $380.72	Professional		$232.22	$290.08	$380.72
United Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $224.49 / $412.79	Professional		$143.28	$224.49	$412.79