Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $457.09	Professional		$194.98	$263.03	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $954.99 / $1,202.26	Professional		$436.52	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $588.84	Facility		$354.81	$436.52	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $630.96	Professional		$426.58	$467.74	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $575.44	Facility		$457.09	$501.19	$575.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $575.44	Professional		$501.19	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $660.69	Facility		$251.19	$446.68	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $512.86 / $616.60	Professional		$87.10	$512.86	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $2,238.72	Facility		$489.78	$831.76	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $645.65	Professional		$588.84	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $954.99	Facility		$165.96	$295.12	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $416.87	Professional		$194.98	$218.78	$416.87