Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.39 / $343.39 / $1,864.19	Professional		$343.39	$343.39	$1,864.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $234.00 / $489.07	Professional		$198.90	$234.00	$489.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.85 / $549.54 / $1,639.38	Professional		$480.85	$549.54	$1,639.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.39 / $516.25 / $686.93	Facility		$343.39	$516.25	$686.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $518.41 / $670.83	Professional		$56.37	$518.41	$670.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.90 / $670.83 / $755.62	Facility		$588.90	$670.83	$755.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $608.33 / $686.93 / $755.62	Professional		$608.33	$686.93	$755.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $470.44 / $686.93	Facility		$188.06	$470.44	$686.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $601.50 / $670.83	Professional		$234.00	$601.50	$670.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $971.16 / $971.16 / $1,142.33	Facility		$971.16	$971.16	$1,142.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $653.83 / $653.83 / $653.83	Professional		$653.83	$653.83	$653.83
United Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $291.29 / $570.21	Professional		$274.20	$291.29	$570.21