Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $1,071.52	Facility		$229.09	$363.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $363.08	Professional		$162.18	$229.09	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $512.86	Facility		$194.98	$316.23	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $389.05	Professional		$123.03	$204.17	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $616.60	Professional		$234.42	$467.74	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $575.44	Facility		$199.53	$323.59	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $741.31	Professional		$323.59	$407.38	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $549.54	Facility		$354.81	$436.52	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $691.83	Facility		$229.09	$346.74	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $660.69	Professional		$204.17	$436.52	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,235.94	Facility		$1,778.28	$2,511.89	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $724.44	Professional		$380.19	$446.68	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,981.07	Facility		$2,454.71	$3,019.95	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $467.74	Professional		$138.04	$177.83	$467.74