Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $416.87	Professional		$181.97	$251.19	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $912.01 / $1,148.15	Professional		$407.38	$912.01	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $537.03	Facility		$316.23	$398.11	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $575.44	Professional		$398.11	$426.58	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $537.03	Facility		$426.58	$436.52	$537.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $537.03	Professional		$436.52	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $602.56	Facility		$245.47	$426.58	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $467.74 / $562.34	Professional		$87.10	$467.74	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $2,041.74	Facility		$446.68	$758.58	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $602.56	Professional		$537.03	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $691.83 / $912.01	Facility		$208.93	$691.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $398.11	Professional		$190.55	$208.93	$398.11