Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $467.74	Professional		$257.04	$309.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,122.02 / $1,380.38	Professional		$416.87	$1,122.02	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $616.60	Facility		$331.13	$416.87	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $602.56	Professional		$407.38	$446.68	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $549.54	Facility		$436.52	$537.03	$549.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $549.54	Professional		$489.78	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $467.74 / $707.95	Facility		$275.42	$467.74	$707.95
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 $562.34 / $616.60 / $616.60	Professional		$562.34	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $1,122.02	Facility		$245.47	$346.74	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $489.78	Professional		$234.42	$257.04	$489.78