Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $562.34	Professional		$288.40	$363.08	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,288.25 / $1,621.81	Professional		$501.19	$1,288.25	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $630.96	Facility		$489.78	$501.19	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $707.95	Professional		$478.63	$524.81	$707.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $676.08	Facility		$524.81	$645.65	$676.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $676.08	Professional		$588.84	$660.69	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $831.76	Facility		$346.74	$549.54	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $575.44 / $691.83	Professional		$87.10	$575.44	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $2,511.89	Facility		$549.54	$933.25	$2,511.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $741.31	Professional		$660.69	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $1,318.26	Facility		$398.11	$977.24	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $575.44	Professional		$269.15	$302.00	$575.44