Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $309.03	Professional		$123.03	$173.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $602.56 / $741.31	Professional		$218.78	$602.56	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $213.80 / $323.59	Facility		$173.78	$213.80	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $309.03	Professional		$213.80	$229.09	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $295.12	Facility		$229.09	$281.84	$295.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $295.12	Professional		$257.04	$288.40	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $380.19	Facility		$147.91	$251.19	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $302.00	Professional		$87.10	$251.19	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $1,096.48	Facility		$239.88	$407.38	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $323.59	Professional		$288.40	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $602.56	Facility		$181.97	$208.93	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $263.03	Professional		$125.89	$138.04	$263.03