Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.51 / $354.51 / $387.37	Facility		$354.51	$354.51	$387.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $243.42 / $843.87	Professional		$108.67	$243.42	$843.87
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 $279.08 / $377.91 / $485.66	Professional		$279.08	$377.91	$485.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $360.99 / $386.27	Professional		$161.93	$360.99	$386.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $362.16 / $547.40	Facility		$243.42	$362.16	$547.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $290.39 / $486.98	Professional		$259.82	$290.39	$486.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.39 / $310.88 / $422.96	Facility		$252.39	$310.88	$422.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $245.84 / $245.84	Professional		$219.93	$245.84	$245.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.09 / $415.28 / $573.75	Facility		$348.09	$415.28	$573.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $386.28 / $454.07	Professional		$260.52	$386.28	$454.07
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 $298.62 / $381.18 / $449.12	Professional		$298.62	$381.18	$449.12
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $388.59 / $526.15	Professional		$149.69	$388.59	$526.15