Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $933.25	Professional		$436.52	$575.44	$933.25
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 $831.76 / $2,089.30 / $2,630.27	Professional		$831.76	$2,089.30	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $1,096.48	Facility		$645.65	$812.83	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,174.90	Professional		$794.33	$870.96	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $1,071.52	Facility		$851.14	$977.24	$1,071.52
Pacific Source 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
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,348.96	Facility		$549.54	$891.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $954.99 / $1,148.15	Professional		$87.10	$954.99	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $4,168.69	Facility		$891.25	$1,513.56	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,202.26	Professional		$1,096.48	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $2,089.30	Facility		$478.63	$645.65	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $933.25	Professional		$436.52	$478.63	$933.25