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 $602.56 / $758.58 / $1,230.27	Professional		$602.56	$758.58	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $3,388.44	Professional		$1,047.13	$2,754.23	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,318.26	Facility		$1,023.29	$1,047.13	$1,318.26
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 $1,096.48 / $1,348.96 / $1,412.54	Facility		$1,096.48	$1,348.96	$1,412.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,412.54	Professional		$1,230.27	$1,380.38	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,737.80	Facility		$794.33	$1,148.15	$1,737.80
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 $616.60 / $2,041.74 / $2,754.23	Facility		$616.60	$2,041.74	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,202.26	Professional		$562.34	$630.96	$1,202.26