Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $331.13	Facility		$177.83	$263.03	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $316.23	Professional		$112.20	$154.88	$316.23
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 $213.80 / $316.23 / $436.52	Professional		$213.80	$316.23	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $316.23	Professional		$138.04	$275.42	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $416.87	Facility		$165.96	$257.04	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $398.11	Professional		$199.53	$288.40	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $331.13	Facility		$204.17	$245.47	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $645.65	Facility		$177.83	$288.40	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $363.08	Professional		$194.98	$288.40	$363.08
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 $234.42 / $281.84 / $316.23	Professional		$234.42	$281.84	$316.23
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 $109.65 / $147.91 / $371.54	Professional		$109.65	$147.91	$371.54