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 $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,288.25 / $1,621.81	Professional		$467.74	$1,288.25	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $645.65	Facility		$371.54	$457.09	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $660.69	Professional		$446.68	$478.63	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $602.56	Facility		$478.63	$588.84	$602.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $602.56	Professional		$549.54	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $794.33	Facility		$323.59	$524.81	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $537.03 / $630.96	Professional		$87.10	$537.03	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $2,344.23	Facility		$501.19	$851.14	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $676.08	Professional		$616.60	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $1,318.26	Facility		$281.84	$407.38	$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