Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $457.09	Professional		$234.42	$302.00	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,071.52 / $1,348.96	Professional		$380.19	$1,071.52	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $602.56	Facility		$302.00	$380.19	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $549.54	Professional		$371.54	$407.38	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $602.56	Facility		$398.11	$489.78	$602.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $602.56	Professional		$446.68	$501.19	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $645.65	Facility		$281.84	$436.52	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $436.52 / $524.81	Professional		$87.10	$436.52	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,905.46	Facility		$416.87	$707.95	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $562.34	Professional		$512.86	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $1,096.48	Facility		$239.88	$338.84	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $478.63	Professional		$223.87	$251.19	$478.63