Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
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 $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $776.25 / $954.99	Professional		$295.12	$776.25	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $446.68	Facility		$239.88	$295.12	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $426.58	Professional		$288.40	$309.03	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $478.63	Facility		$309.03	$380.19	$478.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $478.63	Professional		$346.74	$389.05	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $489.78	Facility		$213.80	$323.59	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $338.84 / $407.38	Professional		$87.10	$338.84	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $1,479.11	Facility		$323.59	$549.54	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $436.52	Professional		$398.11	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $776.25	Facility		$154.88	$239.88	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $338.84	Professional		$162.18	$177.83	$338.84