Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $478.63	Professional		$239.88	$302.00	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,096.48 / $1,380.38	Professional		$489.78	$1,096.48	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $645.65	Facility		$380.19	$478.63	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $691.83	Professional		$478.63	$512.86	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $645.65	Facility		$489.78	$512.86	$645.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $645.65	Professional		$501.19	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $489.78 / $724.44	Facility		$281.84	$489.78	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $562.34 / $676.08	Professional		$87.10	$562.34	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $2,454.71	Facility		$537.03	$912.01	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $724.44	Professional		$645.65	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $1,096.48	Facility		$245.47	$398.11	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $478.63	Professional		$223.87	$251.19	$478.63