Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $100.25 / $826.02	Facility		$100.25	$100.25	$826.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $246.10 / $1,025.33	Professional		$195.31	$246.10	$1,025.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $214.16	Facility		$214.16	$214.16	$214.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $214.16	Professional		$156.34	$156.34	$214.16
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 / $341.80 / $415.92	Facility		$233.96	$341.80	$415.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $395.88 / $436.72	Professional		$314.83	$395.88	$436.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.73 / $406.17 / $457.51	Facility		$328.73	$406.17	$457.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $330.41 / $330.41 / $330.41	Professional		$330.41	$330.41	$330.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $364.20 / $436.72	Facility		$233.96	$364.20	$436.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $364.20 / $469.13	Professional		$156.34	$364.20	$469.13
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 Facility Modifier Low / Median / High Price $154.24 / $154.24 / $158.69	Facility		$154.24	$154.24	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $155.62 / $296.91	Professional		$146.49	$155.62	$296.91