Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $630.96	Professional		$295.12	$398.11	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,412.54 / $1,778.28	Professional		$537.03	$1,412.54	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $794.33	Facility		$426.58	$537.03	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $776.25	Professional		$512.86	$562.34	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $851.14	Facility		$562.34	$691.83	$851.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $851.14	Professional		$630.96	$707.95	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $891.25	Facility		$354.81	$602.56	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $616.60 / $741.31	Professional		$87.10	$616.60	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,691.53	Facility		$588.84	$1,000.00	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $794.33	Professional		$724.44	$794.33	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $1,445.44	Facility		$245.47	$446.68	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $630.96	Professional		$295.12	$331.13	$630.96