Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $389.05	Professional		$154.88	$218.78	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $758.58 / $933.25	Professional		$275.42	$758.58	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $398.11	Facility		$218.78	$269.15	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $389.05	Professional		$263.03	$288.40	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $354.81	Facility		$281.84	$346.74	$354.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $380.19	Professional		$323.59	$354.81	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $489.78	Facility		$181.97	$309.03	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $316.23 / $380.19	Professional		$87.10	$316.23	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $501.19 / $1,380.38	Facility		$295.12	$501.19	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $398.11	Professional		$363.08	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $234.42 / $758.58	Facility		$38.02	$234.42	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $331.13	Professional		$154.88	$173.78	$331.13