Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $228.14 / $1,956.28	Facility		$217.71	$228.14	$1,956.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $146.60 / $608.53	Professional		$66.38	$146.60	$608.53
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 $163.74 / $241.52 / $289.82	Professional		$163.74	$241.52	$289.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $240.63 / $256.41	Professional		$107.49	$240.63	$256.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.60 / $230.01 / $269.79	Facility		$146.60	$230.01	$269.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $173.78 / $310.08	Professional		$149.43	$173.78	$310.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $195.64 / $244.97	Facility		$141.47	$195.64	$244.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $261.50 / $350.75	Facility		$219.60	$261.50	$350.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $230.68 / $280.60	Professional		$154.97	$230.68	$280.60
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 $180.20 / $229.34 / $288.99	Professional		$180.20	$229.34	$288.99
United Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $106.45 / $324.50	Professional		$87.35	$106.45	$324.50