Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $281.84	Facility		$257.04	$269.15	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $616.60	Professional		$208.93	$275.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $954.99 / $1,174.90	Professional		$346.74	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $512.86	Facility		$275.42	$346.74	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $501.19	Professional		$338.84	$363.08	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $446.68 / $457.09	Facility		$363.08	$446.68	$457.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $457.09	Professional		$407.38	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $588.84	Facility		$245.47	$389.05	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $398.11 / $478.63	Professional		$87.10	$398.11	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $1,737.80	Facility		$380.19	$645.65	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $512.86	Professional		$467.74	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $954.99	Facility		$213.80	$288.40	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $416.87	Professional		$194.98	$218.78	$416.87