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 / $575.44 / $831.76	Professional		$416.87	$575.44	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,041.74 / $2,570.40	Professional		$724.44	$2,041.74	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $724.44 / $1,148.15	Facility		$588.84	$724.44	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,047.13	Professional		$707.95	$776.25	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,288.25	Facility		$758.58	$933.25	$1,288.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,288.25	Professional		$870.96	$954.99	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,258.93	Facility		$512.86	$831.76	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $831.76 / $1,000.00	Professional		$87.10	$831.76	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,630.78	Facility		$794.33	$1,348.96	$3,630.78
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 $426.58 / $645.65 / $2,089.30	Facility		$426.58	$645.65	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $912.01	Professional		$436.52	$478.63	$912.01