Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.05 / $483.88 / $531.05	Facility		$474.05	$483.88	$531.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $320.91 / $917.48	Professional		$143.88	$320.91	$917.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.56 / $1,084.56 / $1,084.56	Facility		$1,084.56	$1,084.56	$1,084.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.09 / $514.83 / $625.42	Professional		$366.09	$514.83	$625.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $492.76 / $526.72	Professional		$220.81	$492.76	$526.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.91 / $458.90 / $600.71	Facility		$320.91	$458.90	$600.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.79 / $360.08 / $657.75	Professional		$288.79	$360.08	$657.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $413.23 / $454.30	Facility		$297.98	$413.23	$454.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.90 / $554.52 / $731.40	Facility		$458.90	$554.52	$731.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $489.94 / $594.32	Professional		$307.33	$489.94	$594.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,258.55 / $1,551.28	Facility		$1,037.60	$1,258.55	$1,551.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $399.55 / $508.15 / $613.03	Professional		$399.55	$508.15	$613.03
United Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $197.98 / $688.34	Professional		$195.08	$197.98	$688.34