Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $870.96	Professional		$446.68	$616.60	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,187.76 / $2,754.23	Professional		$776.25	$2,187.76	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $776.25 / $1,174.90	Facility		$616.60	$776.25	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,122.02	Professional		$758.58	$831.76	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,348.96	Facility		$812.83	$1,000.00	$1,348.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,348.96	Professional		$912.01	$1,023.29	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,380.38	Facility		$549.54	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $891.25 / $1,071.52	Professional		$87.10	$891.25	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $3,890.45	Facility		$851.14	$1,445.44	$3,890.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,148.15	Professional		$1,047.13	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $691.83 / $2,238.72	Facility		$630.96	$691.83	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $977.24	Professional		$457.09	$512.86	$977.24