Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.61 / $447.61 / $447.61	Facility		$447.61	$447.61	$447.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $254.12 / $1,462.60	Professional		$254.12	$254.12	$1,462.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $347.16	Facility		$347.16	$347.16	$347.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $404.56	Professional		$295.08	$347.16	$404.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $443.61 / $1,435.05	Professional		$345.03	$443.61	$1,435.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $434.84 / $578.62	Facility		$166.32	$434.84	$578.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $434.41 / $549.69	Professional		$54.99	$434.41	$549.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $533.64 / $636.48	Facility		$492.90	$533.64	$636.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $533.64 / $578.62	Professional		$492.90	$533.64	$578.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $348.14 / $578.62	Facility		$166.32	$348.14	$578.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $446.05 / $563.98	Professional		$347.16	$446.05	$563.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $716.68 / $716.68 / $843.00	Facility		$716.68	$716.68	$843.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $486.14 / $486.14 / $486.14	Professional		$486.14	$486.14	$486.14
United Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $252.90 / $486.14	Professional		$230.97	$252.90	$486.14