Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $812.83	Professional		$346.74	$588.84	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $707.95 / $891.25	Professional		$257.04	$707.95	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $891.25	Facility		$346.74	$870.96	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $933.25	Professional		$323.59	$501.19	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $954.99	Facility		$331.13	$489.78	$954.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $436.52 / $1,096.48	Facility		$338.84	$436.52	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $524.81 / $933.25	Professional		$87.10	$524.81	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $1,949.84	Facility		$478.63	$1,000.00	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $1,023.29	Professional		$354.81	$371.54	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $1,905.46	Facility		$524.81	$1,445.44	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $831.76	Professional		$354.81	$537.03	$831.76