Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.23 / $969.23 / $969.23	Facility		$969.23	$969.23	$969.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.08 / $583.08 / $3,355.80	Professional		$583.08	$583.08	$3,355.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $394.97 / $897.69	Professional		$288.33	$394.97	$897.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $906.76 / $3,107.38	Professional		$793.42	$906.76	$3,107.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.08 / $1,157.06 / $1,320.16	Facility		$583.08	$1,157.06	$1,320.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $990.11 / $1,190.11	Professional		$113.35	$990.11	$1,190.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,112.96 / $1,181.66 / $1,335.55	Facility		$1,112.96	$1,181.66	$1,335.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,112.96 / $1,133.45 / $1,293.36	Professional		$1,112.96	$1,133.45	$1,293.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $810.41 / $1,320.16	Facility		$394.97	$810.41	$1,320.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $1,023.45 / $1,259.45	Professional		$394.97	$1,023.45	$1,259.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,644.34 / $1,644.34 / $1,934.18	Facility		$1,644.34	$1,644.34	$1,934.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,115.43 / $1,115.43 / $1,115.43	Professional		$1,115.43	$1,115.43	$1,115.43
United Facility/Professional Professional Modifier Low / Median / High Price $526.96 / $548.04 / $1,080.54	Professional		$526.96	$548.04	$1,080.54