Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.70 / $288.70 / $288.70	Facility		$288.70	$288.70	$288.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $193.82 / $950.88	Professional		$193.82	$193.82	$950.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $274.02	Professional		$202.44	$238.16	$274.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.41 / $310.18 / $925.61	Professional		$271.41	$310.18	$925.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.82 / $291.38 / $387.73	Facility		$193.82	$291.38	$387.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $293.48 / $378.64	Professional		$31.55	$293.48	$378.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $321.83 / $378.64 / $426.50	Facility		$321.83	$378.64	$426.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $329.57 / $387.73 / $395.48	Professional		$329.57	$387.73	$395.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $265.52 / $387.73	Facility		$106.15	$265.52	$387.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $339.50 / $378.64	Professional		$238.16	$339.50	$378.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $548.16 / $548.16 / $644.78	Facility		$548.16	$548.16	$644.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.04 / $369.04 / $369.04	Professional		$369.04	$369.04	$369.04
United Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $164.42 / $321.83	Professional		$154.76	$164.42	$321.83