Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.27 / $262.27 / $262.27	Facility		$262.27	$262.27	$262.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $167.09 / $961.78	Professional		$167.09	$167.09	$961.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $204.05	Facility		$204.05	$204.05	$204.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $244.85	Professional		$173.44	$204.05	$244.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $279.87 / $840.87	Professional		$217.68	$279.87	$840.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $365.49 / $419.17	Facility		$167.09	$365.49	$419.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $298.66 / $398.21	Professional		$33.06	$298.66	$398.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.16 / $338.92 / $409.35	Facility		$303.16	$338.92	$409.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $310.97 / $376.58	Professional		$303.16	$310.97	$376.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $348.09 / $486.04	Facility		$167.09	$348.09	$486.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $293.26 / $366.80	Professional		$204.05	$293.26	$366.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $471.27 / $471.27 / $554.34	Facility		$471.27	$471.27	$554.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $319.58 / $319.58	Professional		$319.58	$319.58	$319.58
United Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $165.00 / $219.99	Facility		$22.00	$165.00	$219.99
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $182.32 / $303.87	Professional		$158.15	$182.32	$303.87