Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $758.58	Professional		$371.54	$588.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,202.26 / $1,479.11	Professional		$426.58	$1,202.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $741.31	Facility		$426.58	$724.44	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $776.25	Professional		$512.86	$602.56	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $812.83	Facility		$562.34	$562.34	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $1,047.13	Facility		$407.38	$575.44	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $537.03 / $794.33	Professional		$87.10	$537.03	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,348.96 / $2,290.87	Facility		$549.54	$1,348.96	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $870.96	Professional		$575.44	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,122.02 / $1,513.56	Facility		$457.09	$1,122.02	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $741.31	Professional		$323.59	$457.09	$741.31