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 / $179.58 / $738.91	Professional		$80.31	$179.58	$738.91
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 / $247.86 / $395.73	Professional		$199.36	$247.86	$395.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.60 / $249.24 / $371.64	Facility		$204.60	$249.24	$371.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $273.14	Professional		$245.84	$245.84	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.68 / $316.64 / $451.26	Facility		$265.68	$316.64	$451.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $302.18 / $349.92	Professional		$200.04	$302.18	$349.92
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 / $298.89 / $349.63	Professional		$232.47	$298.89	$349.63
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $182.43 / $392.57	Professional		$110.13	$182.43	$392.57