Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.22 / $438.04 / $482.21	Facility		$430.22	$438.04	$482.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $289.86 / $925.73	Professional		$130.78	$289.86	$925.73
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 $334.35 / $463.80 / $568.39	Professional		$334.35	$463.80	$568.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $447.73 / $477.16	Professional		$200.03	$447.73	$477.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $414.50 / $517.09	Facility		$289.86	$414.50	$517.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $329.28 / $594.72	Professional		$288.66	$329.28	$594.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.91 / $373.35 / $410.72	Facility		$263.91	$373.35	$410.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $260.01	Professional		$260.01	$260.01	$260.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.50 / $500.01 / $664.70	Facility		$414.50	$500.01	$664.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $435.12 / $538.20	Professional		$281.20	$435.12	$538.20
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 $348.09 / $464.96 / $554.29	Professional		$348.09	$464.96	$554.29
United Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $192.06 / $622.38	Professional		$180.38	$192.06	$622.38