Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $268.07 / $282.56	Facility		$258.39	$268.07	$282.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $287.79 / $1,335.00	Professional		$261.62	$287.79	$1,335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $293.31	Professional		$214.12	$214.12	$293.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $922.57 / $1,203.26	Professional		$319.80	$922.57	$1,203.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $375.45 / $456.86	Facility		$274.05	$375.45	$456.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $339.70 / $429.45 / $479.70	Professional		$339.70	$429.45	$479.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.65 / $446.15 / $495.91	Facility		$362.65	$446.15	$495.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $411.17 / $456.86 / $466.00	Professional		$411.17	$456.86	$466.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $391.89 / $479.70	Facility		$274.05	$391.89	$479.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $400.04 / $502.55	Professional		$214.12	$400.04	$502.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $759.74 / $1,602.80	Facility		$380.63	$759.74	$1,602.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.90 / $502.55 / $502.55	Professional		$392.90	$502.55	$502.55
United Facility/Professional Facility Modifier Low / Median / High Price $696.97 / $696.97 / $929.30	Facility		$696.97	$696.97	$929.30
United Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $217.32 / $416.53	Professional		$206.80	$217.32	$416.53