Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.31 / $363.31 / $363.31	Facility		$363.31	$363.31	$363.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.20 / $243.20 / $1,400.01	Professional		$243.20	$243.20	$1,400.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $299.44	Facility		$299.44	$299.44	$299.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $365.81	Professional		$254.52	$299.44	$365.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $392.27 / $1,164.78	Professional		$305.10	$392.27	$1,164.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.20 / $575.09 / $659.54	Facility		$243.20	$575.09	$659.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $423.16 / $626.55	Professional		$53.68	$423.16	$626.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.85 / $518.51 / $644.08	Facility		$435.85	$518.51	$644.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $414.06 / $462.11 / $576.12	Professional		$414.06	$462.11	$576.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $460.07 / $764.79	Facility		$234.09	$460.07	$764.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $426.80 / $546.09	Professional		$299.44	$426.80	$546.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $806.92	Facility		$686.00	$686.00	$806.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.07 / $465.07 / $465.07	Professional		$465.07	$465.07	$465.07
United Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $235.28 / $451.97	Professional		$235.28	$235.28	$451.97