Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.74 / $1,495.74 / $2,610.00	Facility		$1,495.74	$1,495.74	$2,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $510.00 / $582.00	Professional		$432.00	$510.00	$582.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $975.00 / $1,743.30	Facility		$975.00	$975.00	$1,743.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,317.46 / $1,578.74	Professional		$600.00	$1,317.46	$1,578.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $582.00 / $1,320.00	Facility		$450.00	$582.00	$1,320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $810.00	Professional		$600.00	$600.00	$810.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $630.00 / $840.00	Facility		$600.00	$630.00	$840.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $720.00 / $1,529.69	Facility		$540.00	$720.00	$1,529.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $840.00	Professional		$660.00	$660.00	$840.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,942.80 / $2,355.42	Facility		$1,200.00	$1,942.80	$2,355.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,179.99 / $1,887.53	Professional		$959.00	$1,179.99	$1,887.53
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $630.00	Professional		$252.00	$252.00	$630.00