Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.42 / $929.42 / $1,016.25	Facility		$929.42	$929.42	$1,016.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $636.37 / $1,846.59	Professional		$282.52	$636.37	$1,846.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,643.90 / $3,643.90 / $3,643.90	Facility		$3,643.90	$3,643.90	$3,643.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.53 / $993.25 / $1,235.44	Professional		$733.53	$993.25	$1,235.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.07 / $936.76 / $1,004.43	Professional		$421.07	$936.76	$1,004.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.37 / $910.01 / $1,163.48	Facility		$636.37	$910.01	$1,163.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.12 / $717.92 / $1,262.54	Professional		$635.12	$717.92	$1,262.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.21 / $784.53 / $907.66	Facility		$587.21	$784.53	$907.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $750.71 / $750.71 / $750.71	Professional		$750.71	$750.71	$750.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.24 / $1,073.27 / $1,399.55	Facility		$894.24	$1,073.27	$1,399.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $967.52 / $1,149.75	Professional		$617.50	$967.52	$1,149.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,585.79 / $4,297.70 / $5,377.72	Facility		$3,585.79	$4,297.70	$5,377.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.09 / $998.55 / $1,177.74	Professional		$783.09	$998.55	$1,177.74
United Facility/Professional Professional Modifier Low / Median / High Price $393.27 / $1,019.24 / $1,322.43	Professional		$393.27	$1,019.24	$1,322.43