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 $346.74 / $478.63 / $741.31	Professional		$346.74	$478.63	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,698.24 / $2,137.96	Professional		$602.56	$1,698.24	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $912.01	Facility		$478.63	$602.56	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $870.96	Professional		$575.44	$630.96	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,047.13	Facility		$630.96	$776.25	$1,047.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,047.13	Professional		$794.33	$794.33	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,071.52	Facility		$416.87	$691.83	$1,071.52
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 $181.97 / $537.03 / $1,737.80	Facility		$181.97	$537.03	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $758.58	Professional		$354.81	$398.11	$758.58