Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.44 / $275.85 / $310.02	Facility		$263.44	$275.85	$310.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $177.19 / $684.67	Professional		$80.31	$177.19	$684.67
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 $217.31 / $291.66 / $365.82	Professional		$217.31	$291.66	$365.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $292.29 / $311.30	Professional		$130.50	$292.29	$311.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.19 / $278.16 / $423.30	Facility		$177.19	$278.16	$423.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $240.66 / $375.12	Professional		$199.36	$240.66	$375.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $247.90 / $327.63	Facility		$204.60	$247.90	$327.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Professional		$273.14	$273.14	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.68 / $316.64 / $431.80	Facility		$265.68	$316.64	$431.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $297.91 / $349.56	Professional		$192.24	$297.91	$349.56
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 $232.47 / $298.27 / $349.63	Professional		$232.47	$298.27	$349.63
United Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $163.22 / $163.22	Facility		$163.22	$163.22	$163.22
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $294.91 / $371.06	Professional		$110.13	$294.91	$371.06