Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $269.15	Professional		$128.82	$162.18	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $724.44	Professional		$245.47	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $323.59	Facility		$194.98	$239.88	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $346.74	Professional		$234.42	$257.04	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $316.23	Facility		$269.15	$309.03	$316.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $316.23	Professional		$251.19	$251.19	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $407.38	Facility		$158.49	$263.03	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $281.84 / $331.13	Professional		$87.10	$281.84	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $1,230.27	Facility		$263.03	$446.68	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $354.81	Professional		$323.59	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $446.68 / $588.84	Facility		$144.54	$446.68	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $257.04	Professional		$123.03	$134.90	$257.04