Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $562.34	Professional		$263.03	$346.74	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
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 $512.86 / $1,258.93 / $1,584.89	Professional		$512.86	$1,258.93	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $707.95	Facility		$407.38	$501.19	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $724.44	Professional		$489.78	$537.03	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $660.69	Facility		$524.81	$645.65	$660.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $660.69	Professional		$602.56	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $812.83	Facility		$323.59	$549.54	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $588.84 / $707.95	Professional		$87.10	$588.84	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $2,570.40	Facility		$562.34	$933.25	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $741.31	Professional		$676.08	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $1,258.93	Facility		$389.05	$416.87	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $562.34	Professional		$263.03	$288.40	$562.34