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 $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
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 $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,258.93 / $1,584.89	Professional		$501.19	$1,258.93	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $794.33	Facility		$398.11	$501.19	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $724.44	Professional		$489.78	$537.03	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $776.25	Facility		$524.81	$645.65	$776.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $776.25	Professional		$602.56	$660.69	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $549.54 / $831.76	Facility		$331.13	$549.54	$831.76
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 $389.05 / $398.11 / $1,258.93	Facility		$389.05	$398.11	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $562.34	Professional		$263.03	$288.40	$562.34