Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $727.22 / $727.22	Facility		$727.22	$727.22	$727.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $453.08 / $2,607.94	Professional		$453.08	$453.08	$2,607.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $581.42	Facility		$581.42	$581.42	$581.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $581.42 / $705.09	Professional		$314.00	$581.42	$705.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.28 / $758.93 / $2,331.48	Professional		$590.28	$758.93	$2,331.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.08 / $854.07 / $1,136.49	Facility		$453.08	$854.07	$1,136.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $811.54 / $885.42	Professional		$84.33	$811.54	$885.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.26 / $942.00 / $1,109.84	Facility		$843.26	$942.00	$1,109.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $758.93 / $877.68 / $1,046.67	Professional		$758.93	$877.68	$1,046.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $683.26 / $1,136.49	Facility		$263.00	$683.26	$1,136.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $795.20 / $991.83	Professional		$581.42	$795.20	$991.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,277.89 / $1,277.89 / $1,503.14	Facility		$1,277.89	$1,277.89	$1,503.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $866.57 / $866.57 / $866.57	Professional		$866.57	$866.57	$866.57
United Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $445.59 / $838.94	Professional		$436.61	$445.59	$838.94