Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $630.96	Professional		$309.03	$426.58	$630.96
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,548.82 / $1,905.46	Professional		$602.56	$1,548.82	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $891.25	Facility		$478.63	$602.56	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $870.96	Professional		$588.84	$630.96	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $954.99	Facility		$630.96	$776.25	$954.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $954.99	Professional		$707.95	$794.33	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $977.24	Facility		$398.11	$660.69	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $691.83 / $831.76	Professional		$87.10	$691.83	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,019.95	Facility		$660.69	$1,122.02	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $891.25	Professional		$812.83	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,148.15 / $1,548.82	Facility		$354.81	$1,148.15	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $676.08	Professional		$316.23	$354.81	$676.08