Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,122.02 / $1,412.54	Professional		$467.74	$1,122.02	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $691.83	Facility		$371.54	$467.74	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $676.08	Professional		$457.09	$501.19	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $676.08	Facility		$489.78	$602.56	$676.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $676.08	Professional		$562.34	$616.60	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $741.31	Facility		$338.84	$501.19	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $537.03 / $645.65	Professional		$87.10	$537.03	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $2,344.23	Facility		$512.86	$870.96	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $1,148.15	Facility		$257.04	$346.74	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $501.19	Professional		$234.42	$263.03	$501.19