Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $512.86	Facility		$245.47	$269.15	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $489.78	Professional		$177.83	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $794.33 / $977.24	Professional		$295.12	$794.33	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $398.11	Facility		$229.09	$295.12	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $416.87	Professional		$281.84	$309.03	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $398.11	Facility		$309.03	$380.19	$398.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $398.11	Professional		$346.74	$389.05	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $501.19	Facility		$194.98	$331.13	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $338.84 / $407.38	Professional		$87.10	$338.84	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $1,479.11	Facility		$323.59	$549.54	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $436.52	Professional		$389.05	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $794.33	Facility		$181.97	$602.56	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $346.74	Professional		$165.96	$181.97	$346.74