Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $467.74	Facility		$186.21	$229.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $288.40	Professional		$91.20	$169.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $616.60 / $758.58	Professional		$234.42	$616.60	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $316.23	Facility		$186.21	$234.42	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $331.13	Professional		$223.87	$245.47	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $302.00 / $323.59	Facility		$245.47	$302.00	$323.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $323.59	Professional		$275.42	$309.03	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $389.05	Facility		$165.96	$257.04	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $269.15 / $323.59	Professional		$87.10	$269.15	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $1,174.90	Facility		$257.04	$436.52	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $346.74	Professional		$316.23	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $457.09 / $616.60	Facility		$141.25	$457.09	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $269.15	Professional		$128.82	$141.25	$269.15