Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $323.59	Professional		$154.88	$213.80	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $977.24	Professional		$346.74	$776.25	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $489.78	Facility		$275.42	$346.74	$489.78
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 / $478.63	Facility		$363.08	$446.68	$478.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Professional		$457.09	$457.09	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $512.86	Facility		$204.17	$346.74	$512.86
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 $177.83 / $302.00 / $776.25	Facility		$177.83	$302.00	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $338.84	Professional		$162.18	$177.83	$338.84