Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,148.15	Professional		$416.87	$537.03	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,737.80 / $2,187.76	Professional		$691.83	$1,737.80	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $933.25	Facility		$549.54	$691.83	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,000.00	Professional		$676.08	$724.44	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $812.83 / $912.01	Facility		$724.44	$812.83	$912.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $912.01	Professional		$812.83	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $1,096.48	Facility		$457.09	$758.58	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $794.33 / $954.99	Professional		$87.10	$794.33	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,467.37	Facility		$758.58	$1,288.25	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,023.29	Professional		$933.25	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $1,778.28	Facility		$398.11	$562.34	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $776.25	Professional		$363.08	$407.38	$776.25