Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.17 / $421.17 / $421.17	Facility		$421.17	$421.17	$421.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $1,492.66	Professional		$259.31	$259.31	$1,492.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $408.42	Professional		$283.26	$333.25	$408.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.36 / $428.61 / $1,350.28	Professional		$333.36	$428.61	$1,350.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.31 / $503.00 / $669.33	Facility		$259.31	$503.00	$669.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $458.32 / $514.55	Professional		$47.62	$458.32	$514.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.23 / $547.25 / $653.64	Facility		$476.23	$547.25	$653.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $499.99 / $608.04	Professional		$476.23	$499.99	$608.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.31 / $402.40 / $669.33	Facility		$259.31	$402.40	$669.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $455.11 / $576.23	Professional		$333.25	$455.11	$576.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.40 / $731.40 / $860.32	Facility		$731.40	$731.40	$860.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.94 / $495.94 / $495.94	Professional		$495.94	$495.94	$495.94
United Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $253.54 / $487.13	Professional		$253.54	$253.54	$487.13