Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.45 / $179.45 / $179.45	Facility		$179.45	$179.45	$179.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $869.32	Professional		$461.62	$461.62	$869.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.76 / $1,013.76 / $1,013.76	Facility		$1,013.76	$1,013.76	$1,013.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $334.51 / $400.85	Professional		$150.22	$334.51	$400.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.86 / $597.39 / $992.48	Facility		$336.86	$597.39	$992.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $141.77 / $694.64	Professional		$141.77	$141.77	$694.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.05 / $311.14 / $315.57	Facility		$259.05	$311.14	$315.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.86 / $497.83 / $1,013.76	Facility		$336.86	$497.83	$1,013.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $506.88 / $1,164.68	Professional		$360.96	$506.88	$1,164.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $305.44 / $475.17 / $985.50	Facility		$305.44	$475.17	$985.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.77 / $488.77 / $488.77	Professional		$488.77	$488.77	$488.77
United Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $543.08 / $543.08	Professional		$511.40	$543.08	$543.08