Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $741.31	Professional		$524.81	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $1,819.70	Professional		$676.08	$1,174.90	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,698.24	Professional		$1,258.93	$1,445.44	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,174.90	Facility		$524.81	$691.83	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $741.31	Professional		$524.81	$575.44	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $537.03	Facility		$407.38	$512.86	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,202.26	Facility		$524.81	$691.83	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,778.28	Professional		$79.43	$1,096.48	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,089.30	Facility		$1,318.26	$1,698.24	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,621.81	Professional		$933.25	$1,174.90	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,819.70	Facility		$1,122.02	$1,412.54	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,659.59	Professional		$707.95	$1,071.52	$1,659.59