Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.68 / $277.50 / $515.04	Facility		$245.68	$277.50	$515.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $231.34 / $1,118.00	Professional		$219.25	$231.34	$1,118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $233.36	Professional		$170.35	$170.35	$233.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $773.42 / $1,008.75	Professional		$269.95	$773.42	$1,008.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $328.74 / $424.23	Facility		$231.34	$328.74	$424.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.75 / $362.52 / $404.94	Professional		$286.75	$362.52	$404.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.13 / $385.66 / $442.53	Facility		$306.13	$385.66	$442.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $306.13 / $385.66 / $402.30	Professional		$306.13	$385.66	$402.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $337.70 / $404.94	Facility		$231.34	$337.70	$404.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $337.70 / $435.00	Professional		$170.35	$337.70	$435.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $321.31 / $641.34 / $1,353.03	Facility		$321.31	$641.34	$1,353.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.67 / $424.23 / $424.23	Professional		$331.67	$424.23	$424.23
United Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $182.12 / $356.51	Professional		$171.43	$182.12	$356.51