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 $151.36 / $190.55 / $309.03	Professional		$151.36	$190.55	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $691.83 / $851.14	Professional		$263.03	$691.83	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $263.03 / $363.08	Facility		$208.93	$263.03	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $371.54	Professional		$257.04	$275.42	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $354.81	Facility		$275.42	$338.84	$354.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $354.81	Professional		$331.13	$346.74	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $436.52	Facility		$186.21	$288.40	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $302.00 / $363.08	Professional		$87.10	$302.00	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $1,318.26	Facility		$288.40	$489.78	$1,318.26
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 $154.88 / $512.86 / $691.83	Facility		$154.88	$512.86	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $302.00	Professional		$141.25	$158.49	$302.00