Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $354.81	Professional		$199.53	$239.88	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $870.96 / $1,071.52	Professional		$309.03	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $426.58	Facility		$239.88	$302.00	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $436.52	Professional		$302.00	$323.59	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $398.11	Facility		$316.23	$389.05	$398.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $549.54	Facility		$208.93	$346.74	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $354.81 / $416.87	Professional		$87.10	$354.81	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,548.82	Facility		$331.13	$562.34	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Professional		$407.38	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $870.96	Facility		$199.53	$346.74	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $380.19	Professional		$181.97	$199.53	$380.19