Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $954.99	Professional		$457.09	$575.44	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,089.30 / $2,570.40	Professional		$794.33	$2,089.30	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $1,096.48	Facility		$630.96	$794.33	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,122.02	Professional		$776.25	$831.76	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,096.48	Facility		$831.76	$1,023.29	$1,096.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,096.48	Professional		$933.25	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,318.26	Facility		$562.34	$870.96	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $912.01 / $1,096.48	Professional		$87.10	$912.01	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $3,981.07	Facility		$870.96	$1,479.11	$3,981.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,548.82 / $2,089.30	Facility		$478.63	$1,548.82	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $912.01	Professional		$436.52	$478.63	$912.01