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 $501.19 / $630.96 / $1,000.00	Professional		$501.19	$630.96	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
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 / $2,238.72 / $2,754.23	Professional		$794.33	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $1,174.90	Facility		$630.96	$794.33	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,148.15	Professional		$758.58	$831.76	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,148.15	Facility		$831.76	$1,023.29	$1,148.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,412.54	Facility		$588.84	$891.25	$1,412.54
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 / $691.83 / $2,238.72	Facility		$478.63	$691.83	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $977.24	Professional		$467.74	$512.86	$977.24