Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $562.34	Professional		$275.42	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,380.38 / $1,698.24	Professional		$489.78	$1,380.38	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $758.58	Facility		$389.05	$478.63	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $691.83	Professional		$478.63	$512.86	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $851.14	Facility		$501.19	$616.60	$851.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $851.14	Professional		$575.44	$630.96	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $851.14	Facility		$338.84	$549.54	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $562.34 / $660.69	Professional		$87.10	$562.34	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $2,454.71	Facility		$524.81	$891.25	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $707.95	Professional		$645.65	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $426.58 / $1,380.38	Facility		$158.49	$426.58	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $602.56	Professional		$288.40	$316.23	$602.56