Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.18 / $232.02 / $259.16	Facility		$222.18	$232.02	$259.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $149.41 / $596.12	Professional		$67.73	$149.41	$596.12
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 $171.53 / $245.30 / $305.83	Professional		$171.53	$245.30	$305.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $244.47 / $260.32	Professional		$109.13	$244.47	$260.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $233.96 / $333.22	Facility		$149.41	$233.96	$333.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $198.39 / $315.14	Professional		$166.88	$198.39	$315.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $208.37 / $259.44	Facility		$171.05	$208.37	$259.44
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 $223.20 / $266.01 / $357.65	Facility		$223.20	$266.01	$357.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $248.00 / $288.32	Professional		$160.91	$248.00	$288.32
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 $195.30 / $239.24 / $293.72	Professional		$195.30	$239.24	$293.72
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $130.58 / $329.81	Professional		$92.64	$130.58	$329.81