Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $645.65 / $1,513.56	Professional		$275.42	$645.65	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $870.96	Professional		$630.96	$691.83	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $602.56	Facility		$275.42	$389.05	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $398.11	Professional		$257.04	$316.23	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $537.03 / $645.65	Facility		$234.42	$537.03	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Facility		$281.84	$398.11	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $645.65 / $1,513.56	Professional		$275.42	$645.65	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,995.26	Facility		$1,318.26	$1,778.28	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $870.96	Professional		$524.81	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,819.70	Facility		$1,122.02	$1,412.54	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $891.25	Professional		$295.12	$436.52	$891.25