Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $676.08	Facility		$398.11	$588.84	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $630.96	Professional		$208.93	$316.23	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $812.83	Professional		$426.58	$645.65	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $630.96	Professional		$275.42	$537.03	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $870.96	Facility		$275.42	$575.44	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $794.33	Professional		$416.87	$501.19	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $562.34	Facility		$407.38	$489.78	$562.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $1,096.48	Facility		$354.81	$575.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $741.31	Professional		$389.05	$575.44	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $645.65	Professional		$489.78	$575.44	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $831.76	Professional		$245.47	$251.19	$831.76