Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.79 / $710.79 / $710.79	Facility		$710.79	$710.79	$710.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $306.10 / $1,206.00	Professional		$127.00	$306.10	$1,206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $336.03 / $336.03	Facility		$336.03	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $336.03	Professional		$245.30	$245.30	$336.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $1,037.63 / $1,353.33	Professional		$374.64	$1,037.63	$1,353.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.06 / $439.85 / $535.20	Facility		$321.06	$439.85	$535.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.96 / $503.09 / $561.96	Professional		$397.96	$503.09	$561.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.84 / $535.20 / $588.72	Facility		$424.84	$535.20	$588.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $535.20 / $554.38	Professional		$438.65	$535.20	$554.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.06 / $459.12 / $561.96	Facility		$321.06	$459.12	$561.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $468.65 / $588.72	Professional		$245.30	$468.65	$588.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $445.91 / $890.04 / $1,877.69	Facility		$445.91	$890.04	$1,877.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.27 / $588.72 / $588.72	Professional		$460.27	$588.72	$588.72
United Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $244.39 / $468.42	Professional		$232.56	$244.39	$468.42