Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $724.44	Facility		$302.00	$346.74	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $316.23	Professional		$295.12	$302.00	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,174.90	Professional		$891.25	$1,023.29	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $691.83	Facility		$316.23	$562.34	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $562.34	Professional		$295.12	$309.03	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $812.83	Facility		$346.74	$346.74	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $1,023.29	Facility		$302.00	$436.52	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $794.33	Professional		$79.43	$309.03	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $257.04 / $676.08	Facility		$54.95	$257.04	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $660.69	Facility		$275.42	$275.42	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08