Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $349.28	Facility		$166.47	$166.47	$349.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $206.08 / $813.00	Professional		$142.66	$206.08	$813.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $194.92	Facility		$194.92	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $660.50 / $861.47	Professional		$291.14	$660.50	$861.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $320.02 / $415.92	Facility		$233.96	$320.02	$415.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.25 / $390.96 / $436.72	Professional		$309.25	$390.96	$436.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.73 / $370.28 / $415.92	Facility		$328.73	$370.28	$415.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $336.62 / $415.92 / $436.72	Professional		$336.62	$415.92	$436.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $341.80 / $436.72	Facility		$194.92	$341.80	$436.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $364.20 / $457.51	Professional		$142.29	$364.20	$457.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.52 / $691.66 / $1,459.20	Facility		$346.52	$691.66	$1,459.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $357.69 / $457.51 / $457.51	Professional		$357.69	$457.51	$457.51
United Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $155.62 / $296.91	Professional		$146.49	$155.62	$296.91