Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.40 / $226.40 / $226.40	Facility		$226.40	$226.40	$226.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $176.07 / $757.00	Professional		$160.06	$176.07	$757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $175.81	Facility		$175.81	$175.81	$175.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $175.81	Professional		$128.34	$128.34	$175.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.88 / $564.61 / $736.40	Professional		$217.88	$564.61	$736.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.71 / $255.79 / $311.26	Facility		$186.71	$255.79	$311.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $292.58 / $326.82	Professional		$231.43	$292.58	$326.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.08 / $290.88 / $319.97	Facility		$247.08	$290.88	$319.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $280.13 / $311.26 / $311.26	Professional		$280.13	$311.26	$311.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $267.00 / $326.82	Facility		$175.81	$267.00	$326.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $272.55 / $342.39	Professional		$128.34	$272.55	$342.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $259.32 / $517.60 / $1,092.00	Facility		$259.32	$517.60	$1,092.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.68 / $342.39 / $342.39	Professional		$267.68	$342.39	$342.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $132.96 / $260.26	Professional		$126.52	$132.96	$260.26