Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.34 / $432.34 / $432.34	Facility		$432.34	$432.34	$432.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $239.26 / $1,376.97	Professional		$239.26	$239.26	$1,376.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $374.14	Professional		$281.80	$331.53	$374.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $428.44 / $1,386.07	Professional		$333.23	$428.44	$1,386.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.26 / $446.52 / $590.75	Facility		$239.26	$446.52	$590.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $382.12 / $484.01	Professional		$47.61	$382.12	$484.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.48 / $479.85 / $571.25	Facility		$443.48	$479.85	$571.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $476.04 / $476.04 / $515.91	Professional		$476.04	$476.04	$515.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.26 / $346.63 / $590.75	Facility		$239.26	$346.63	$590.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $419.99 / $479.85	Professional		$331.53	$419.99	$479.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $674.71 / $674.71 / $793.64	Facility		$674.71	$674.71	$793.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $457.76 / $457.76	Professional		$457.76	$457.76	$457.76
United Facility/Professional Professional Modifier Low / Median / High Price $238.09 / $238.09 / $462.17	Professional		$238.09	$238.09	$462.17