Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $870.96	Professional		$416.87	$524.81	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,905.46 / $2,344.23	Professional		$741.31	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $977.24	Facility		$575.44	$724.44	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $1,023.29	Professional		$707.95	$758.58	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,000.00	Facility		$758.58	$933.25	$1,000.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,000.00	Professional		$870.96	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,230.27	Facility		$549.54	$812.83	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,000.00	Professional		$79.43	$851.14	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,715.35	Facility		$794.33	$1,348.96	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,071.52	Professional		$977.24	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,445.44 / $1,905.46	Facility		$436.52	$1,445.44	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $831.76	Professional		$398.11	$436.52	$831.76