Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $257.04	Facility		$173.78	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $302.00	Professional		$125.89	$169.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $707.95	Professional		$223.87	$575.44	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $295.12	Facility		$173.78	$218.78	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $309.03	Professional		$213.80	$229.09	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $302.00	Facility		$229.09	$281.84	$302.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $302.00	Professional		$263.03	$288.40	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $371.54	Facility		$169.82	$239.88	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $302.00	Professional		$87.10	$251.19	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $1,122.02	Facility		$239.88	$407.38	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $323.59	Professional		$295.12	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $436.52 / $575.44	Facility		$131.83	$436.52	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $251.19	Professional		$120.23	$131.83	$251.19