Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $436.96 / $843.78	Facility		$376.69	$436.96	$843.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $256.14 / $587.63	Professional		$216.97	$256.14	$587.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.70 / $489.70 / $875.58	Facility		$489.70	$489.70	$875.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $405.35 / $591.04	Professional		$168.76	$405.35	$591.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $661.92 / $793.20	Professional		$301.35	$661.92	$793.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $316.42 / $662.97	Facility		$226.01	$316.42	$662.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $406.82	Professional		$301.35	$301.35	$406.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $570.46	Facility		$301.35	$301.35	$570.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.42 / $381.21 / $733.72	Facility		$316.42	$381.21	$733.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $346.55 / $433.94	Professional		$331.49	$346.55	$433.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $917.01 / $1,245.00	Facility		$587.63	$917.01	$1,245.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.07 / $592.72 / $947.50	Professional		$532.07	$592.72	$947.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $316.42	Professional		$126.57	$126.57	$316.42