Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $1,122.02	Professional		$446.68	$891.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,398.83 / $2,951.21	Professional		$977.24	$2,398.83	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,621.81	Facility		$954.99	$1,047.13	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,445.44	Professional		$954.99	$1,174.90	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,288.25	Facility		$1,122.02	$1,258.93	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,737.80	Facility		$776.25	$1,148.15	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,318.26	Professional		$79.43	$1,096.48	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,897.79	Facility		$1,071.52	$1,819.70	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Professional		$1,318.26	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,778.28 / $2,344.23	Facility		$416.87	$1,778.28	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $1,023.29	Professional		$489.78	$537.03	$1,023.29