Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.24 / $629.12 / $3,025.98	Professional		$461.24	$629.12	$3,025.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $507.65 / $695.41	Professional		$507.65	$507.65	$695.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.14 / $2,033.36 / $2,652.00	Professional		$734.14	$2,033.36	$2,652.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.12 / $861.89 / $1,048.77	Facility		$629.12	$861.89	$1,048.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $779.81 / $985.84 / $1,101.21	Professional		$779.81	$985.84	$1,101.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $1,048.77 / $1,153.65	Facility		$832.50	$1,048.77	$1,153.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $891.45 / $1,048.77 / $1,086.33	Professional		$891.45	$1,048.77	$1,086.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.12 / $899.64 / $1,101.21	Facility		$629.12	$899.64	$1,101.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $918.34 / $1,153.65	Professional		$507.65	$918.34	$1,153.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $873.78 / $1,744.08 / $3,679.42	Facility		$873.78	$1,744.08	$3,679.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $901.94 / $1,153.65 / $1,153.65	Professional		$901.94	$1,153.65	$1,153.65
United Facility/Professional Professional Modifier Low / Median / High Price $455.71 / $478.89 / $937.42	Professional		$455.71	$478.89	$937.42