Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $354.81	Professional		$173.78	$245.47	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
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 $309.03 / $870.96 / $1,096.48	Professional		$309.03	$870.96	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $512.86	Facility		$257.04	$309.03	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $436.52	Professional		$302.00	$323.59	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $537.03	Facility		$398.11	$407.38	$537.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $549.54	Facility		$213.80	$338.84	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $354.81 / $426.58	Professional		$87.10	$354.81	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $457.09	Professional		$416.87	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $275.42	Facility		$204.17	$269.15	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $389.05	Professional		$181.97	$199.53	$389.05