Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $831.76	Professional		$416.87	$562.34	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,041.74 / $2,511.89	Professional		$831.76	$2,041.74	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $1,096.48	Facility		$660.69	$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 $489.78 / $891.25 / $1,288.25	Facility		$489.78	$891.25	$1,288.25
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 / $4,168.69	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 $389.05 / $630.96 / $2,041.74	Facility		$389.05	$630.96	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $891.25	Professional		$416.87	$467.74	$891.25