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 $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,288.25 / $1,659.59	Professional		$588.84	$1,288.25	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $691.83	Facility		$478.63	$602.56	$691.83
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 / $794.33	Facility		$630.96	$776.25	$794.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $794.33	Professional		$724.44	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $954.99	Facility		$363.08	$616.60	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $691.83 / $851.14	Professional		$87.10	$691.83	$851.14
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 $398.11 / $977.24 / $1,288.25	Facility		$398.11	$977.24	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $562.34	Professional		$269.15	$295.12	$562.34