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 $371.54 / $467.74 / $741.31	Professional		$371.54	$467.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,698.24 / $2,089.30	Professional		$660.69	$1,698.24	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $870.96	Facility		$549.54	$645.65	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $912.01	Professional		$630.96	$676.08	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $891.25	Facility		$676.08	$831.76	$891.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $891.25	Professional		$851.14	$851.14	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,096.48	Facility		$457.09	$724.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $758.58 / $891.25	Professional		$87.10	$758.58	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,311.31	Facility		$707.95	$1,202.26	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $954.99	Professional		$870.96	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $1,698.24	Facility		$512.86	$1,288.25	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $741.31	Professional		$354.81	$389.05	$741.31