Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $812.83	Facility		$478.63	$707.95	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $758.58	Professional		$251.19	$346.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $977.24	Professional		$524.81	$794.33	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $758.58	Professional		$323.59	$645.65	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $1,023.29	Facility		$323.59	$645.65	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $954.99	Professional		$436.52	$602.56	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $676.08	Facility		$489.78	$602.56	$676.08
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 $380.19 / $691.83 / $1,445.44	Facility		$380.19	$691.83	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $891.25	Professional		$467.74	$676.08	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,089.30	Facility		$1,318.26	$1,621.81	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $794.33	Professional		$588.84	$676.08	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,691.53	Facility		$1,659.59	$2,041.74	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $1,000.00	Professional		$295.12	$302.00	$1,000.00