Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $464.00 / $896.00	Facility		$400.00	$464.00	$896.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $300.80 / $1,189.11	Professional		$230.40	$300.80	$1,189.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $929.76	Facility		$520.00	$520.00	$929.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $352.86 / $573.95	Professional		$280.61	$352.86	$573.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $702.41 / $841.72	Professional		$320.00	$702.41	$841.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $336.00 / $704.00	Facility		$240.00	$336.00	$704.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $432.00	Professional		$320.00	$320.00	$432.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $336.00 / $706.40	Facility		$320.00	$336.00	$706.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $404.80 / $777.71	Facility		$336.00	$404.80	$777.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.32 / $368.00 / $460.80	Professional		$337.32	$368.00	$460.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $973.76 / $1,256.29	Facility		$624.00	$973.76	$1,256.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $564.98 / $629.46 / $1,006.12	Professional		$564.98	$629.46	$1,006.12
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $134.40 / $384.00	Professional		$134.40	$134.40	$384.00