Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,584.89 / $1,862.09	Professional		$724.44	$1,584.89	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $776.25 / $1,698.24	Facility		$41.69	$776.25	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,174.90	Professional		$741.31	$776.25	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,174.90	Facility		$758.58	$758.58	$1,174.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,174.90	Professional		$758.58	$758.58	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $1,348.96	Facility		$676.08	$851.14	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $831.76	Professional		$79.43	$295.12	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,630.78	Facility		$1,096.48	$2,137.96	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $2,570.40	Professional		$831.76	$1,659.59	$2,570.40