Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $288.40	Professional		$112.20	$269.15	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $263.03	Facility		$158.49	$158.49	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $190.55	Professional		$151.36	$186.21	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $213.80	Facility		$177.83	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $501.19	Facility		$186.21	$245.47	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $234.42	Professional		$79.43	$186.21	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $218.78	Professional		$199.53	$218.78	$218.78