Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $398.11	Facility		$229.09	$331.13	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $354.81	Professional		$123.03	$190.55	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $524.81	Professional		$229.09	$338.84	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $331.13	Professional		$144.54	$288.40	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $363.08 / $575.44	Facility		$147.91	$363.08	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $416.87	Professional		$218.78	$302.00	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $363.08	Facility		$218.78	$269.15	$363.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $331.13	Professional		$169.82	$275.42	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $676.08	Facility		$218.78	$371.54	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $426.58	Professional		$229.09	$331.13	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $416.87	Professional		$269.15	$346.74	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $478.63	Professional		$154.88	$162.18	$478.63