Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $363.08	Professional		$162.18	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,023.29	Professional		$371.54	$812.83	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $371.54 / $501.19	Facility		$302.00	$371.54	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $537.03	Professional		$363.08	$398.11	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $489.78	Facility		$389.05	$478.63	$489.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $512.86	Professional		$446.68	$489.78	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $588.84	Facility		$223.87	$380.19	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $436.52 / $524.81	Professional		$87.10	$436.52	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $1,905.46	Facility		$407.38	$691.83	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $549.54	Professional		$501.19	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $812.83	Facility		$245.47	$602.56	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $354.81	Professional		$165.96	$186.21	$354.81