Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.64 / $343.64 / $343.64	Facility		$343.64	$343.64	$343.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $189.51 / $1,090.61	Professional		$189.51	$189.51	$1,090.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $263.45	Facility		$263.45	$263.45	$263.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $263.45 / $297.51	Professional		$223.93	$263.45	$297.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.97 / $340.68 / $1,101.72	Professional		$264.97	$340.68	$1,101.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $349.84 / $462.84	Facility		$189.51	$349.84	$462.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $299.38 / $379.21	Professional		$37.94	$299.38	$379.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.96 / $378.65 / $454.24	Facility		$349.96	$378.65	$454.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $378.53 / $406.92	Professional		$340.68	$378.53	$406.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $275.63 / $462.84	Facility		$189.51	$275.63	$462.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $332.66 / $378.65	Professional		$263.45	$332.66	$378.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $534.40 / $534.40 / $628.60	Facility		$534.40	$534.40	$628.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $362.58 / $362.58	Professional		$362.58	$362.58	$362.58
United Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $188.58 / $367.50	Professional		$187.63	$188.58	$367.50