Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.61 / $244.24 / $273.49	Facility		$234.61	$244.24	$273.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $157.51 / $655.36	Professional		$71.47	$157.51	$655.36
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 $183.74 / $257.75 / $322.55	Professional		$183.74	$257.75	$322.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $256.89 / $273.32	Professional		$114.58	$256.89	$273.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.51 / $247.07 / $350.20	Facility		$157.51	$247.07	$350.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $207.57 / $331.41	Professional		$175.84	$207.57	$331.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.34 / $219.76 / $301.72	Facility		$180.34	$219.76	$301.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $351.44 / $363.48	Professional		$245.84	$351.44	$363.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $280.24 / $377.20	Facility		$230.30	$280.24	$377.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $260.80 / $302.70	Professional		$169.56	$260.80	$302.70
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 $205.38 / $250.31 / $308.89	Professional		$205.38	$250.31	$308.89
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $145.56 / $346.82	Professional		$97.86	$145.56	$346.82