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 $194.98 / $263.03 / $407.38	Professional		$194.98	$263.03	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $954.99 / $1,174.90	Professional		$346.74	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $489.78	Facility		$275.42	$338.84	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $489.78	Professional		$331.13	$363.08	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $457.09	Facility		$354.81	$436.52	$457.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $457.09	Professional		$407.38	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $575.44	Facility		$229.09	$389.05	$575.44
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 $457.09 / $512.86 / $512.86	Professional		$457.09	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $954.99	Facility		$218.78	$295.12	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $416.87	Professional		$194.98	$218.78	$416.87