Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.99 / $424.99 / $424.99	Facility		$424.99	$424.99	$424.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $275.19 / $1,583.95	Professional		$275.19	$275.19	$1,583.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $353.55	Facility		$353.55	$353.55	$353.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $353.55 / $422.81	Professional		$300.52	$353.55	$422.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $469.52 / $1,362.54	Professional		$365.18	$469.52	$1,362.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.19 / $497.68 / $662.23	Facility		$275.19	$497.68	$662.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $495.61 / $522.55	Professional		$52.17	$495.61	$522.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.69 / $584.53 / $678.20	Facility		$521.69	$584.53	$678.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $521.69 / $526.08 / $623.38	Professional		$521.69	$526.08	$623.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.19 / $398.14 / $662.23	Facility		$275.19	$398.14	$662.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $483.01 / $607.10	Professional		$353.55	$483.01	$607.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $776.14 / $912.94	Facility		$776.14	$776.14	$912.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $526.38 / $526.38	Professional		$526.38	$526.38	$526.38
United Facility/Professional Professional Modifier Low / Median / High Price $255.25 / $255.25 / $490.45	Professional		$255.25	$255.25	$490.45