Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.89 / $578.89 / $633.34	Facility		$578.89	$578.89	$633.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.21 / $401.77 / $1,400.11	Professional		$179.21	$401.77	$1,400.11
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 $454.84 / $615.89 / $809.56	Professional		$454.84	$615.89	$809.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $585.08 / $625.58	Professional		$262.25	$585.08	$625.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.77 / $581.76 / $790.46	Facility		$401.77	$581.76	$790.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.09 / $454.72 / $789.36	Professional		$397.09	$454.72	$789.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.37 / $507.86 / $605.88	Facility		$398.37	$507.86	$605.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $273.14 / $373.53	Professional		$270.14	$273.14	$373.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.53 / $678.41 / $871.70	Facility		$574.53	$678.41	$871.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.04 / $617.12 / $730.00	Professional		$417.04	$617.12	$730.00
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 $486.99 / $621.94 / $732.42	Professional		$486.99	$621.94	$732.42
United Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $348.84 / $858.04	Professional		$247.86	$348.84	$858.04