Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $776.25	Professional		$371.54	$478.63	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,737.80 / $2,137.96	Professional		$660.69	$1,737.80	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $954.99	Facility		$524.81	$645.65	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $933.25	Professional		$630.96	$691.83	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $912.01	Facility		$676.08	$831.76	$912.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $912.01	Professional		$776.25	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,096.48	Facility		$446.68	$724.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $758.58 / $912.01	Professional		$87.10	$758.58	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $3,311.31	Facility		$724.44	$1,202.26	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $954.99	Professional		$870.96	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,318.26 / $1,737.80	Facility		$524.81	$1,318.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $758.58	Professional		$363.08	$398.11	$758.58