Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $457.09	Facility		$288.40	$426.58	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $426.58	Professional		$151.36	$223.87	$426.58
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 $295.12 / $436.52 / $630.96	Professional		$295.12	$436.52	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $426.58	Professional		$186.21	$371.54	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $660.69	Facility		$199.53	$426.58	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $537.03	Professional		$281.84	$389.05	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $426.58	Facility		$275.42	$346.74	$426.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $870.96	Facility		$302.00	$436.52	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $501.19	Professional		$288.40	$407.38	$501.19
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 $331.13 / $416.87 / $489.78	Professional		$331.13	$416.87	$489.78
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 $190.55 / $194.98 / $575.44	Professional		$190.55	$194.98	$575.44