Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $380.19	Professional		$190.55	$239.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $870.96 / $1,071.52	Professional		$331.13	$870.96	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $446.68	Facility		$281.84	$331.13	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $467.74	Professional		$323.59	$346.74	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $457.09	Facility		$426.58	$436.52	$457.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $562.34	Facility		$234.42	$363.08	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $457.09	Professional		$79.43	$380.19	$457.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,659.59	Facility		$363.08	$616.60	$1,659.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $489.78	Professional		$446.68	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $645.65 / $870.96	Facility		$263.03	$645.65	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $380.19	Professional		$181.97	$199.53	$380.19