Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $741.31	Professional		$245.47	$588.84	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $331.13	Facility		$194.98	$245.47	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $354.81	Professional		$239.88	$263.03	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $288.40 / $323.59	Facility		$257.04	$288.40	$323.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $323.59	Professional		$288.40	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $389.05	Facility		$162.18	$263.03	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $281.84 / $338.84	Professional		$87.10	$281.84	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $1,230.27	Facility		$269.15	$457.09	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $363.08	Professional		$331.13	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $588.84	Facility		$134.90	$229.09	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $263.03	Professional		$123.03	$138.04	$263.03