Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.11 / $466.11 / $466.11	Facility		$466.11	$466.11	$466.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $1,805.96	Professional		$312.89	$312.89	$1,805.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $353.90 / $442.38	Professional		$300.82	$353.90	$442.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.15 / $563.34 / $1,494.36	Professional		$438.15	$563.34	$1,494.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $470.38 / $625.92	Facility		$312.89	$470.38	$625.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $469.91 / $625.92	Professional		$49.39	$469.91	$625.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.34 / $625.92 / $774.50	Facility		$563.34	$625.92	$774.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $563.34 / $625.92 / $782.41	Professional		$563.34	$625.92	$782.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $447.98 / $625.92	Facility		$312.89	$447.98	$625.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $548.09 / $611.26	Professional		$353.90	$548.09	$611.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $884.92 / $884.92 / $1,040.90	Facility		$884.92	$884.92	$1,040.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $595.77 / $595.77 / $595.77	Professional		$595.77	$595.77	$595.77
United Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $265.43 / $519.57	Professional		$249.85	$265.43	$519.57