Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $346.74	Professional		$151.36	$199.53	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $724.44 / $912.01	Professional		$316.23	$724.44	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $426.58	Facility		$251.19	$316.23	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $446.68	Professional		$302.00	$331.13	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $354.81 / $416.87	Facility		$331.13	$354.81	$416.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $416.87	Professional		$354.81	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $478.63	Facility		$204.17	$338.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $354.81 / $436.52	Professional		$87.10	$354.81	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $1,584.89	Facility		$346.74	$588.84	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $467.74	Professional		$426.58	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $724.44	Facility		$169.82	$229.09	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $323.59	Professional		$151.36	$165.96	$323.59