Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $489.78	Professional		$239.88	$323.59	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,174.90 / $1,445.44	Professional		$416.87	$1,174.90	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $602.56	Facility		$323.59	$407.38	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $588.84	Professional		$407.38	$436.52	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $588.84	Facility		$436.52	$537.03	$588.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $588.84	Professional		$489.78	$549.54	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $724.44	Facility		$288.40	$467.74	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $478.63 / $575.44	Professional		$87.10	$478.63	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $776.25 / $2,089.30	Facility		$457.09	$776.25	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $616.60	Professional		$549.54	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $1,174.90	Facility		$263.03	$407.38	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $512.86	Professional		$239.88	$269.15	$512.86