Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $933.25	Professional		$512.86	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $2,884.03	Professional		$1,023.29	$2,238.72	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Facility		$831.76	$1,047.13	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,513.56	Professional		$1,023.29	$1,096.48	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,380.38	Facility		$1,096.48	$1,230.27	$1,380.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,380.38	Professional		$1,230.27	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,548.82	Facility		$630.96	$1,023.29	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,202.26 / $1,445.44	Professional		$87.10	$1,202.26	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $5,248.07	Facility		$1,148.15	$1,949.84	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,548.82	Professional		$1,412.54	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $2,290.87	Facility		$512.86	$933.25	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $1,000.00	Professional		$467.74	$524.81	$1,000.00