Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,479.11	Professional		$588.84	$794.33	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $3,630.78	Professional		$1,023.29	$2,884.03	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,445.44	Facility		$812.83	$1,023.29	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,479.11	Professional		$1,000.00	$1,071.52	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,348.96	Facility		$1,071.52	$1,318.26	$1,348.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,348.96	Professional		$1,202.26	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,819.70	Facility		$776.25	$1,148.15	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,174.90 / $1,412.54	Professional		$87.10	$1,174.90	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $5,128.61	Facility		$1,122.02	$1,905.46	$5,128.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,884.03	Facility		$660.69	$1,122.02	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,288.25	Professional		$602.56	$676.08	$1,288.25