Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $302.00	Professional		$144.54	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $660.69 / $831.76	Professional		$269.15	$660.69	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $263.03 / $354.81	Facility		$208.93	$263.03	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $380.19	Professional		$257.04	$281.84	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $346.74	Facility		$338.84	$338.84	$346.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $537.03	Facility		$190.55	$302.00	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $363.08	Professional		$79.43	$302.00	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $1,348.96	Facility		$288.40	$489.78	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $389.05	Professional		$354.81	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $501.19 / $676.08	Facility		$151.36	$501.19	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $295.12	Professional		$138.04	$154.88	$295.12