Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $758.58	Professional		$251.19	$426.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $954.99 / $1,174.90	Professional		$338.84	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $512.86	Facility		$338.84	$512.86	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $549.54	Professional		$407.38	$489.78	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $616.60	Facility		$446.68	$446.68	$616.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $831.76	Facility		$323.59	$457.09	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $426.58 / $562.34	Professional		$87.10	$426.58	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $1,778.28	Facility		$436.52	$977.24	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $660.69	Professional		$457.09	$501.19	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,318.26 / $1,737.80	Facility		$338.84	$1,318.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Professional		$257.04	$338.84	$537.03