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 $251.19 / $354.81 / $562.34	Professional		$251.19	$354.81	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,230.27 / $1,548.82	Professional		$501.19	$1,230.27	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $707.95	Facility		$398.11	$501.19	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $724.44	Professional		$478.63	$524.81	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $660.69	Facility		$524.81	$575.44	$660.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $660.69	Professional		$575.44	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $812.83	Facility		$316.23	$537.03	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $575.44 / $691.83	Professional		$87.10	$575.44	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $2,511.89	Facility		$549.54	$933.25	$2,511.89
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 / $389.05 / $1,258.93	Facility		$302.00	$389.05	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $549.54	Professional		$257.04	$288.40	$549.54