Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $426.58	Professional		$173.78	$223.87	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $812.83 / $1,000.00	Professional		$288.40	$812.83	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $426.58	Facility		$223.87	$281.84	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $407.38	Professional		$275.42	$302.00	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $371.54	Facility		$295.12	$363.08	$371.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $371.54	Professional		$338.84	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $512.86	Facility		$223.87	$323.59	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $323.59 / $398.11	Professional		$87.10	$323.59	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $1,445.44	Facility		$309.03	$524.81	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $416.87	Professional		$380.19	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $812.83	Facility		$186.21	$338.84	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $354.81	Professional		$169.82	$186.21	$354.81