Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $363.08	Professional		$190.55	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $851.14 / $1,047.13	Professional		$302.00	$851.14	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $426.58	Facility		$239.88	$302.00	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $436.52	Professional		$295.12	$316.23	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $446.68	Facility		$316.23	$389.05	$446.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $446.68	Professional		$354.81	$398.11	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $501.19	Facility		$223.87	$338.84	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $346.74 / $416.87	Professional		$87.10	$346.74	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,513.56	Facility		$331.13	$562.34	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Professional		$407.38	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $851.14	Facility		$257.04	$630.96	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $371.54	Professional		$177.83	$194.98	$371.54