Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $322.64 / $397.39	Facility		$322.64	$322.64	$397.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $269.17 / $729.86	Professional		$120.46	$269.17	$729.86
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 $267.88 / $356.24 / $523.97	Professional		$267.88	$356.24	$523.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $309.26 / $330.05	Professional		$138.36	$309.26	$330.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.59 / $383.83 / $523.89	Facility		$239.59	$383.83	$523.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $295.12 / $418.04	Professional		$210.29	$295.12	$418.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.64 / $288.77 / $380.12	Facility		$216.64	$288.77	$380.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $273.14	Professional		$245.84	$245.84	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $408.88 / $554.40	Facility		$356.21	$408.88	$554.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.18 / $362.94 / $449.75	Professional		$239.18	$362.94	$449.75
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 $271.52 / $348.92 / $413.12	Professional		$271.52	$348.92	$413.12
United Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $161.66 / $478.40	Professional		$156.08	$161.66	$478.40