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 / $371.54	Professional		$190.55	$239.88	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $1,071.52	Professional		$331.13	$851.14	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $331.13 / $446.68	Facility		$275.42	$331.13	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $467.74	Professional		$316.23	$346.74	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $426.58 / $446.68	Facility		$346.74	$426.58	$446.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $446.68	Professional		$389.05	$436.52	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $549.54	Facility		$229.09	$363.08	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $380.19 / $457.09	Professional		$87.10	$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 $177.83 / $199.53 / $380.19	Professional		$177.83	$199.53	$380.19