Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $602.56	Professional		$288.40	$363.08	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
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 $512.86 / $1,318.26 / $1,621.81	Professional		$512.86	$1,318.26	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $691.83	Facility		$398.11	$501.19	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $707.95	Professional		$489.78	$524.81	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $691.83	Facility		$524.81	$645.65	$691.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $851.14	Facility		$338.84	$549.54	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $588.84 / $707.95	Professional		$87.10	$588.84	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $2,570.40	Facility		$549.54	$933.25	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $741.31	Professional		$676.08	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,318.26	Facility		$302.00	$1,000.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $575.44	Professional		$275.42	$302.00	$575.44