Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $602.56	Professional		$263.03	$346.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
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 $549.54 / $1,258.93 / $1,548.82	Professional		$549.54	$1,258.93	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $741.31	Facility		$436.52	$549.54	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $794.33	Professional		$537.03	$575.44	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $724.44	Facility		$562.34	$575.44	$724.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $724.44	Professional		$575.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $870.96	Facility		$323.59	$588.84	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $630.96 / $758.58	Professional		$87.10	$630.96	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $2,754.23	Facility		$602.56	$1,023.29	$2,754.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $812.83	Professional		$741.31	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $1,258.93	Facility		$229.09	$389.05	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $549.54	Professional		$263.03	$288.40	$549.54