Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $467.84	Facility		$227.07	$227.07	$467.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $169.88 / $697.00	Professional		$18.00	$169.88	$697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $176.75	Facility		$176.75	$176.75	$176.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $176.75	Professional		$129.03	$129.03	$176.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $599.41 / $781.79	Professional		$216.32	$599.41	$781.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $253.97 / $309.02	Facility		$185.38	$253.97	$309.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $290.49 / $324.48	Professional		$229.78	$290.49	$324.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $309.02 / $339.93	Facility		$245.31	$309.02	$339.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $309.02 / $320.10	Professional		$278.13	$309.02	$320.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $270.60 / $324.48	Facility		$176.75	$270.60	$324.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $270.60 / $339.93	Professional		$129.03	$270.60	$339.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.47 / $513.91 / $1,084.19	Facility		$257.47	$513.91	$1,084.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $339.93 / $339.93	Professional		$265.77	$339.93	$339.93
United Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $141.11 / $269.23	Professional		$132.83	$141.11	$269.23