Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.98 / $308.98 / $308.98	Facility		$308.98	$308.98	$308.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.32 / $186.32 / $1,072.47	Professional		$186.32	$186.32	$1,072.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $243.17	Facility		$243.17	$243.17	$243.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $292.92	Professional		$206.69	$243.17	$292.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.33 / $310.27 / $990.59	Professional		$241.33	$310.27	$990.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.32 / $412.69 / $473.32	Facility		$186.32	$412.69	$473.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $334.71 / $449.65	Professional		$38.51	$334.71	$449.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $412.69 / $462.23	Facility		$344.75	$412.69	$462.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $379.46 / $438.14	Professional		$344.75	$379.46	$438.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.32 / $393.04 / $548.82	Facility		$186.32	$393.04	$548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $327.00 / $415.18	Professional		$243.17	$327.00	$415.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.51 / $525.51 / $618.14	Facility		$525.51	$525.51	$618.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.34 / $356.34 / $356.34	Professional		$356.34	$356.34	$356.34
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $213.80 / $356.34	Professional		$185.44	$213.80	$356.34