Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,096.48	Professional		$588.84	$724.44	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $3,235.94	Professional		$1,023.29	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,412.54	Facility		$812.83	$1,023.29	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,479.11	Professional		$1,000.00	$1,096.48	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,380.38	Facility		$1,071.52	$1,318.26	$1,380.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,380.38	Professional		$1,202.26	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,621.81	Facility		$676.08	$1,122.02	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,174.90 / $1,445.44	Professional		$87.10	$1,174.90	$1,445.44
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 $588.84 / $776.25 / $2,630.27	Facility		$588.84	$776.25	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $1,148.15	Professional		$537.03	$602.56	$1,148.15