Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $630.96	Professional		$338.84	$446.68	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,621.81 / $1,995.26	Professional		$575.44	$1,621.81	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $660.69	Facility		$457.09	$575.44	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $831.76	Professional		$562.34	$616.60	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $758.58	Facility		$602.56	$741.31	$758.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $758.58	Professional		$676.08	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $1,023.29	Facility		$389.05	$630.96	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $660.69 / $794.33	Professional		$87.10	$660.69	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $2,884.03	Facility		$630.96	$1,071.52	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $851.14	Professional		$776.25	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,621.81	Facility		$489.78	$512.86	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $707.95	Professional		$338.84	$371.54	$707.95