Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
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 $467.74 / $1,318.26 / $1,659.59	Professional		$467.74	$1,318.26	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $691.83	Facility		$371.54	$467.74	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $676.08	Professional		$457.09	$489.78	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $616.60	Facility		$489.78	$602.56	$616.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $616.60	Professional		$549.54	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $870.96	Facility		$316.23	$537.03	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $537.03 / $645.65	Professional		$87.10	$537.03	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $2,344.23	Facility		$512.86	$870.96	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $1,348.96	Facility		$407.38	$489.78	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $588.84	Professional		$275.42	$309.03	$588.84