Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.96 / $1,275.96 / $1,275.96	Facility		$1,275.96	$1,275.96	$1,275.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $147.11 / $616.00	Professional		$58.00	$147.11	$616.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $135.00	Professional		$98.55	$98.55	$135.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $519.16 / $677.13	Professional		$187.33	$519.16	$677.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.54 / $219.94 / $267.62	Facility		$160.54	$219.94	$267.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $251.56 / $281.00	Professional		$198.99	$251.56	$281.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $267.62 / $294.38	Facility		$212.44	$267.62	$294.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $240.86 / $267.62 / $277.16	Professional		$240.86	$267.62	$277.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $229.57 / $281.00	Facility		$135.00	$229.57	$281.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $234.34 / $294.38	Professional		$98.55	$234.34	$294.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $222.97 / $445.04 / $938.91	Facility		$222.97	$445.04	$938.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $294.38 / $294.38	Professional		$230.15	$294.38	$294.38
United Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $122.20 / $233.14	Professional		$115.03	$122.20	$233.14