Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.50 / $396.50 / $396.50	Facility		$396.50	$396.50	$396.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $243.49 / $1,401.22	Professional		$243.49	$243.49	$1,401.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $330.17	Professional		$195.08	$229.50	$330.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $440.21 / $1,271.19	Professional		$342.38	$440.21	$1,271.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.49 / $440.03 / $504.67	Facility		$243.49	$440.03	$504.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $378.89 / $489.12	Professional		$47.92	$378.89	$489.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $489.12 / $547.50	Facility		$447.96	$489.12	$547.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $460.35 / $489.12 / $497.73	Professional		$460.35	$489.12	$497.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $419.08 / $504.67	Facility		$229.50	$419.08	$504.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $427.42 / $484.67	Professional		$229.50	$427.42	$484.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $686.60 / $686.60 / $807.62	Facility		$686.60	$686.60	$807.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.87 / $465.87 / $465.87	Professional		$465.87	$465.87	$465.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $223.10 / $428.88	Professional		$223.10	$223.10	$428.88