Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $758.58	Professional		$416.87	$478.63	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,737.80 / $2,137.96	Professional		$616.60	$1,737.80	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $891.25	Facility		$478.63	$602.56	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $870.96	Professional		$588.84	$645.65	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $794.33	Facility		$630.96	$776.25	$794.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $794.33	Professional		$724.44	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,047.13	Facility		$446.68	$691.83	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $707.95 / $851.14	Professional		$87.10	$707.95	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,090.30	Facility		$660.69	$1,122.02	$3,090.30
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 $398.11 / $562.34 / $1,737.80	Facility		$398.11	$562.34	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $758.58	Professional		$363.08	$398.11	$758.58