Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.71 / $372.71 / $372.71	Facility		$372.71	$372.71	$372.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $250.29 / $1,444.63	Professional		$250.29	$250.29	$1,444.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $307.55 / $353.87	Professional		$261.42	$307.55	$353.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $450.61 / $1,194.93	Professional		$350.48	$450.61	$1,194.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $376.28 / $500.68	Facility		$250.29	$376.28	$500.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $376.28 / $500.68	Professional		$47.59	$376.28	$500.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.61 / $500.68 / $600.82	Facility		$450.61	$500.68	$600.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $450.61 / $500.68 / $550.75	Professional		$450.61	$500.68	$550.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $358.36 / $500.68	Facility		$250.29	$358.36	$500.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $438.42 / $488.95	Professional		$307.55	$438.42	$488.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.87 / $707.87 / $832.64	Facility		$707.87	$707.87	$832.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $476.56 / $476.56	Professional		$476.56	$476.56	$476.56
United Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $212.32 / $405.08	Professional		$198.00	$212.32	$405.08