Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.69 / $434.69 / $434.69	Facility		$434.69	$434.69	$434.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $240.04 / $1,381.44	Professional		$240.04	$240.04	$1,381.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $376.21	Professional		$283.26	$333.25	$376.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $430.81 / $1,393.62	Professional		$335.08	$430.81	$1,393.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $445.17 / $588.97	Facility		$240.04	$445.17	$588.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $380.94 / $482.51	Professional		$47.87	$380.94	$482.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.97 / $480.37 / $574.41	Facility		$443.97	$480.37	$574.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $478.68 / $478.68 / $493.30	Professional		$478.68	$478.68	$493.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $348.56 / $588.97	Facility		$240.04	$348.56	$588.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $421.36 / $480.37	Professional		$333.25	$421.36	$480.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.91 / $676.91 / $796.22	Facility		$676.91	$676.91	$796.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.26 / $459.26 / $459.26	Professional		$459.26	$459.26	$459.26
United Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $238.87 / $459.26	Professional		$238.76	$238.87	$459.26