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 $436.52 / $588.84 / $954.99	Professional		$436.52	$588.84	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,089.30 / $2,630.27	Professional		$812.83	$2,089.30	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $1,071.52	Facility		$630.96	$794.33	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,148.15	Professional		$776.25	$851.14	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,096.48	Facility		$851.14	$1,047.13	$1,096.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,096.48	Professional		$954.99	$1,071.52	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,348.96	Facility		$575.44	$870.96	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $933.25 / $1,122.02	Professional		$87.10	$933.25	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $4,073.80	Facility		$891.25	$1,513.56	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,202.26	Professional		$1,071.52	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,584.89 / $2,137.96	Facility		$478.63	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $933.25	Professional		$371.54	$489.78	$933.25