Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.78 / $516.08 / $566.76	Facility		$506.78	$516.08	$566.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $343.24 / $713.23	Professional		$153.69	$343.24	$713.23
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 $396.70 / $549.40 / $692.56	Professional		$396.70	$549.40	$692.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.41 / $525.16 / $561.54	Professional		$235.41	$525.16	$561.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.24 / $490.83 / $690.50	Facility		$343.24	$490.83	$690.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.52 / $387.09 / $701.46	Professional		$356.52	$387.09	$701.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.38 / $440.32 / $509.32	Facility		$331.38	$440.32	$509.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $273.14 / $273.14	Professional		$245.84	$273.14	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.83 / $592.85 / $780.85	Facility		$490.83	$592.85	$780.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.60 / $542.88 / $635.10	Professional		$347.60	$542.88	$635.10
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 $434.70 / $545.85 / $653.78	Professional		$434.70	$545.85	$653.78
United Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $261.42 / $734.08	Professional		$210.43	$261.42	$734.08