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 $295.12 / $407.38 / $645.65	Professional		$295.12	$407.38	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,479.11 / $1,862.09	Professional		$660.69	$1,479.11	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $891.25	Facility		$524.81	$660.69	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $954.99	Professional		$645.65	$691.83	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $724.44 / $870.96	Facility		$691.83	$724.44	$870.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $870.96	Professional		$724.44	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $1,000.00	Facility		$363.08	$676.08	$1,000.00
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 / $1,230.27 / $3,311.31	Facility		$724.44	$1,230.27	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $977.24	Professional		$891.25	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $467.74 / $1,479.11	Facility		$426.58	$467.74	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $645.65	Professional		$309.03	$338.84	$645.65