Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $524.81	Professional		$269.15	$338.84	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,202.26 / $1,513.56	Professional		$467.74	$1,202.26	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $645.65	Facility		$371.54	$467.74	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $660.69	Professional		$446.68	$489.78	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $630.96	Facility		$489.78	$602.56	$630.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $630.96	Professional		$549.54	$616.60	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $776.25	Facility		$323.59	$501.19	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $537.03 / $645.65	Professional		$87.10	$537.03	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $2,344.23	Facility		$512.86	$870.96	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $912.01 / $1,230.27	Facility		$371.54	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $537.03	Professional		$251.19	$281.84	$537.03