Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.52 / $848.52 / $848.52	Facility		$848.52	$848.52	$848.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.64 / $559.64 / $3,221.72	Professional		$559.64	$559.64	$3,221.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $670.25	Facility		$670.25	$670.25	$670.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $809.86	Professional		$569.71	$670.25	$809.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.81 / $890.76 / $2,720.38	Professional		$692.81	$890.76	$2,720.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.62 / $904.94 / $1,292.77	Facility		$587.62	$904.94	$1,292.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $950.05 / $1,196.83	Professional		$98.97	$950.05	$1,196.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $989.73 / $990.47 / $1,328.82	Facility		$989.73	$990.47	$1,328.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $989.73 / $990.47 / $1,328.82	Professional		$989.73	$990.47	$1,328.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.64 / $935.97 / $1,555.89	Facility		$559.64	$935.97	$1,555.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $982.12 / $1,259.72	Professional		$670.25	$982.12	$1,259.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.64 / $1,578.64 / $1,856.90	Facility		$1,578.64	$1,578.64	$1,856.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,070.13 / $1,070.13 / $1,070.13	Professional		$1,070.13	$1,070.13	$1,070.13
United Facility/Professional Professional Modifier Low / Median / High Price $551.47 / $551.47 / $1,098.84	Professional		$551.47	$551.47	$1,098.84