Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.97 / $448.04 / $493.15	Facility		$442.97	$448.04	$493.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $299.45 / $916.07	Professional		$134.56	$299.45	$916.07
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 $345.67 / $475.99 / $604.92	Professional		$345.67	$475.99	$604.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $458.50 / $489.54	Professional		$205.22	$458.50	$489.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.45 / $428.21 / $584.98	Facility		$299.45	$428.21	$584.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.69 / $339.36 / $608.94	Professional		$311.69	$339.36	$608.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $384.63 / $433.84	Facility		$281.70	$384.63	$433.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.21 / $513.64 / $679.65	Facility		$428.21	$513.64	$679.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $470.16 / $551.08	Professional		$302.24	$470.16	$551.08
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 $377.37 / $477.52 / $567.54	Professional		$377.37	$477.52	$567.54
United Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $186.62 / $637.26	Professional		$185.90	$186.62	$637.26