Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $794.33	Professional		$346.74	$426.58	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,548.82 / $1,905.46	Professional		$616.60	$1,548.82	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $870.96	Facility		$489.78	$602.56	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $870.96	Professional		$588.84	$645.65	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $707.95 / $794.33	Facility		$630.96	$707.95	$794.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $794.33	Professional		$707.95	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $1,000.00	Facility		$436.52	$676.08	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $691.83 / $831.76	Professional		$87.10	$691.83	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,090.30	Facility		$660.69	$1,122.02	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $891.25	Professional		$812.83	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $1,548.82	Facility		$380.19	$478.63	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $676.08	Professional		$316.23	$354.81	$676.08