Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $371.54	Professional		$199.53	$245.47	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $1,122.02	Professional		$407.38	$891.25	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $537.03	Facility		$316.23	$398.11	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $575.44	Professional		$389.05	$426.58	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $524.81	Facility		$416.87	$446.68	$524.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $524.81	Professional		$446.68	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $588.84	Facility		$245.47	$407.38	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $457.09 / $549.54	Professional		$87.10	$457.09	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $2,041.74	Facility		$436.52	$741.31	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $588.84	Professional		$537.03	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $891.25	Facility		$204.17	$275.42	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $389.05	Professional		$186.21	$204.17	$389.05