Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.36 / $391.36 / $450.12	Facility		$391.36	$391.36	$450.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $304.23 / $967.54	Professional		$136.31	$304.23	$967.54
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 $345.28 / $438.81 / $624.07	Professional		$345.28	$438.81	$624.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $397.27 / $423.84	Professional		$177.68	$397.27	$423.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.05 / $435.05 / $604.41	Facility		$290.05	$435.05	$604.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $347.20 / $536.84	Professional		$273.42	$347.20	$536.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $343.71 / $450.16	Facility		$278.24	$343.71	$450.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.01 / $458.27 / $632.50	Facility		$404.01	$458.27	$632.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.82 / $429.32 / $502.02	Professional		$295.82	$429.32	$502.02
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 $328.86 / $420.92 / $494.60	Professional		$328.86	$420.92	$494.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $197.21 / $555.35	Professional		$190.20	$197.21	$555.35