Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $295.12	Facility		$158.49	$234.42	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Professional		$91.20	$134.90	$275.42
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 $186.21 / $281.84 / $389.05	Professional		$186.21	$281.84	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $275.42	Professional		$120.23	$239.88	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $346.74	Facility		$144.54	$229.09	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $346.74	Professional		$181.97	$257.04	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $269.15	Facility		$181.97	$213.80	$269.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $562.34	Facility		$158.49	$275.42	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $309.03	Professional		$169.82	$257.04	$309.03
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 $204.17 / $245.47 / $281.84	Professional		$204.17	$245.47	$281.84
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 $97.72 / $144.54 / $331.13	Professional		$97.72	$144.54	$331.13