Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $691.83	Professional		$380.19	$457.09	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,659.59 / $2,041.74	Professional		$602.56	$1,659.59	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $870.96	Facility		$478.63	$602.56	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $870.96	Professional		$588.84	$630.96	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $794.33	Facility		$630.96	$758.58	$794.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $794.33	Professional		$707.95	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,047.13	Facility		$407.38	$676.08	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $691.83 / $831.76	Professional		$87.10	$691.83	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,019.95	Facility		$660.69	$1,122.02	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $891.25	Professional		$812.83	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $1,659.59	Facility		$380.19	$562.34	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $724.44	Professional		$346.74	$380.19	$724.44