Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $407.38	Professional		$169.82	$229.09	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,023.29	Professional		$363.08	$831.76	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $489.78	Facility		$288.40	$363.08	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $524.81	Professional		$354.81	$380.19	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $478.63	Facility		$371.54	$380.19	$478.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $478.63	Professional		$380.19	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $549.54	Facility		$239.88	$389.05	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $416.87 / $501.19	Professional		$87.10	$416.87	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $676.08 / $1,819.70	Facility		$398.11	$676.08	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $537.03	Professional		$489.78	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $257.04 / $831.76	Facility		$234.42	$257.04	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $363.08	Professional		$173.78	$190.55	$363.08