Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.87 / $439.96 / $471.67	Facility		$427.87	$439.96	$471.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $290.14 / $738.52	Professional		$130.00	$290.14	$738.52
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 $306.67 / $469.00 / $535.66	Professional		$306.67	$469.00	$535.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $403.88 / $431.81	Professional		$181.02	$403.88	$431.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $282.64 / $406.14 / $476.68	Facility		$282.64	$406.14	$476.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $313.60 / $545.33	Professional		$257.50	$313.60	$545.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.01 / $338.41 / $410.04	Facility		$245.01	$338.41	$410.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $273.14 / $334.82	Professional		$273.14	$273.14	$334.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.14 / $506.57 / $650.90	Facility		$406.14	$506.57	$650.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $428.35 / $536.40	Professional		$270.44	$428.35	$536.40
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 $321.02 / $425.36 / $558.08	Professional		$321.02	$425.36	$558.08
United Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $171.79 / $626.65	Professional		$159.13	$171.79	$626.65