Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,412.54	Professional		$630.96	$870.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $3,890.45	Professional		$1,288.25	$3,162.28	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Facility		$1,023.29	$1,288.25	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,862.09	Professional		$1,230.27	$1,348.96	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,862.09	Facility		$1,659.59	$1,698.24	$1,862.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,698.24	Professional		$1,348.96	$1,348.96	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,041.74	Facility		$851.14	$1,380.38	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,479.11 / $1,778.28	Professional		$87.10	$1,479.11	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $6,456.54	Facility		$1,412.54	$2,398.83	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $1,905.46	Professional		$1,737.80	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $3,162.28	Facility		$954.99	$2,398.83	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,380.38	Professional		$660.69	$724.44	$1,380.38