Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $707.95	Facility		$323.59	$323.59	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $602.56	Professional		$234.42	$295.12	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,071.52 / $1,318.26	Professional		$407.38	$1,071.52	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $562.34	Facility		$323.59	$407.38	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $588.84	Professional		$389.05	$426.58	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $549.54	Facility		$426.58	$524.81	$549.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $549.54	Professional		$478.63	$537.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $446.68 / $676.08	Facility		$288.40	$446.68	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $467.74 / $562.34	Professional		$87.10	$467.74	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $2,041.74	Facility		$446.68	$758.58	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $602.56	Professional		$549.54	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $794.33 / $1,071.52	Facility		$239.88	$794.33	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $467.74	Professional		$218.78	$245.47	$467.74