Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $443.31 / $443.31	Facility		$254.00	$443.31	$443.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $305.00 / $720.60	Professional		$218.29	$305.00	$720.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.08 / $623.08 / $623.08	Facility		$623.08	$623.08	$623.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $589.49 / $706.39	Professional		$264.72	$589.49	$706.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.83 / $366.51 / $633.04	Facility		$201.83	$366.51	$633.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $289.17 / $289.17	Professional		$155.44	$289.17	$289.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $504.94 / $540.69	Facility		$172.94	$504.94	$540.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.83 / $381.04 / $633.04	Facility		$201.83	$381.04	$633.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.72 / $323.87 / $673.20	Professional		$191.72	$323.87	$673.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $296.00 / $518.08	Facility		$176.00	$296.00	$518.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $311.76 / $311.76	Professional		$311.76	$311.76	$311.76
United Facility/Professional Professional Modifier Low / Median / High Price $326.76 / $347.00 / $347.00	Professional		$326.76	$347.00	$347.00