Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $416.87	Professional		$208.93	$263.03	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $954.99 / $1,202.26	Professional		$371.54	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $489.78	Facility		$309.03	$363.08	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $524.81	Professional		$354.81	$389.05	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $501.19	Facility		$478.63	$489.78	$501.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $707.95	Facility		$251.19	$416.87	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $426.58 / $512.86	Professional		$87.10	$426.58	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $1,862.09	Facility		$407.38	$691.83	$1,862.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $549.54	Professional		$489.78	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $977.24	Facility		$295.12	$724.44	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $426.58	Professional		$199.53	$223.87	$426.58