Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $630.96	Professional		$302.00	$398.11	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
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 $575.44 / $1,445.44 / $1,819.70	Professional		$575.44	$1,445.44	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $831.76	Facility		$457.09	$562.34	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $812.83	Professional		$549.54	$602.56	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $741.31	Facility		$588.84	$691.83	$741.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $741.31	Professional		$676.08	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $954.99	Facility		$380.19	$616.60	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $645.65 / $794.33	Professional		$87.10	$645.65	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,884.03	Facility		$616.60	$1,047.13	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Professional		$758.58	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $1,445.44	Facility		$309.03	$457.09	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $630.96	Professional		$302.00	$331.13	$630.96