Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.21 / $1,026.21 / $1,026.21	Facility		$1,026.21	$1,026.21	$1,026.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.30 / $600.30 / $3,455.08	Professional		$600.30	$600.30	$3,455.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $542.66 / $910.19	Professional		$396.14	$542.66	$910.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.80 / $926.62 / $3,290.04	Professional		$810.80	$926.62	$3,290.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.30 / $1,213.70 / $1,384.79	Facility		$600.30	$1,213.70	$1,384.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $1,038.57 / $1,216.19	Professional		$115.83	$1,038.57	$1,216.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,158.28 / $1,242.69 / $1,491.23	Facility		$1,158.28	$1,242.69	$1,491.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $822.87 / $1,384.79	Facility		$542.66	$822.87	$1,384.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $1,053.68 / $1,305.85	Professional		$542.66	$1,053.68	$1,305.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,692.99 / $1,692.99 / $1,991.40	Facility		$1,692.99	$1,692.99	$1,991.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.34 / $1,148.34 / $1,148.34	Professional		$1,148.34	$1,148.34	$1,148.34
United Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $561.16 / $1,097.16	Professional		$558.79	$561.16	$1,097.16