Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $316.23	Professional		$138.04	$181.97	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $831.76	Professional		$275.42	$660.69	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $275.42 / $371.54	Facility		$218.78	$275.42	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $398.11	Professional		$269.15	$295.12	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $363.08	Facility		$288.40	$323.59	$363.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $363.08	Professional		$323.59	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $436.52	Facility		$162.18	$302.00	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $316.23 / $380.19	Professional		$87.10	$316.23	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $1,380.38	Facility		$302.00	$512.86	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $407.38	Professional		$371.54	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $676.08	Facility		$186.21	$208.93	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $295.12	Professional		$138.04	$154.88	$295.12