Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.89 / $421.89 / $462.75	Facility		$421.89	$421.89	$462.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $290.50 / $1,083.73	Professional		$129.94	$290.50	$1,083.73
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 $330.97 / $448.16 / $580.72	Professional		$330.97	$448.16	$580.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $427.45 / $456.59	Professional		$191.41	$427.45	$456.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $436.68 / $640.90	Facility		$290.50	$436.68	$640.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $358.27 / $572.34	Professional		$307.95	$358.27	$572.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $371.18 / $513.40	Facility		$299.14	$371.18	$513.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $313.52 / $313.52	Professional		$313.52	$313.52	$313.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.42 / $495.75 / $680.00	Facility		$415.42	$495.75	$680.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.81 / $462.04 / $542.14	Professional		$313.81	$462.04	$542.14
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 $354.69 / $455.11 / $533.44	Professional		$354.69	$455.11	$533.44
United Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $224.19 / $598.96	Professional		$179.15	$224.19	$598.96