Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $235.58 / $302.04	Facility		$216.63	$235.58	$302.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $175.27 / $666.00	Professional		$159.34	$175.27	$666.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $175.00	Professional		$127.75	$127.75	$175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $561.78 / $732.69	Professional		$202.90	$561.78	$732.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $238.22 / $289.86	Facility		$173.88	$238.22	$289.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $272.47 / $304.35	Professional		$215.53	$272.47	$304.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $289.86 / $318.85	Facility		$230.09	$289.86	$318.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $289.86 / $300.24	Professional		$260.87	$289.86	$300.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $253.82 / $304.35	Facility		$173.88	$253.82	$304.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $253.82 / $318.85	Professional		$127.75	$253.82	$318.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $241.50 / $482.04 / $1,016.96	Facility		$241.50	$482.04	$1,016.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.28 / $318.85 / $318.85	Professional		$249.28	$318.85	$318.85
United Facility/Professional Facility Modifier Low / Median / High Price $424.49 / $424.49 / $565.98	Facility		$424.49	$424.49	$565.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $132.35 / $252.52	Professional		$125.95	$132.35	$252.52