Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.17 / $708.12 / $3,405.94	Professional		$519.17	$708.12	$3,405.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $782.41	Professional		$571.16	$571.16	$782.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.33 / $2,288.31 / $2,984.53	Professional		$826.33	$2,288.31	$2,984.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $708.12 / $970.12 / $1,180.47	Facility		$708.12	$970.12	$1,180.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $877.71 / $1,109.64 / $1,239.49	Professional		$877.71	$1,109.64	$1,239.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $937.01 / $1,180.47 / $1,298.52	Facility		$937.01	$1,180.47	$1,298.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,062.42 / $1,180.47 / $1,222.76	Professional		$1,062.42	$1,180.47	$1,222.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.12 / $1,012.61 / $1,239.49	Facility		$708.12	$1,012.61	$1,239.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $1,033.66 / $1,298.52	Professional		$571.16	$1,033.66	$1,298.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $983.50 / $1,963.08 / $4,141.46	Facility		$983.50	$1,963.08	$4,141.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,015.20 / $1,298.52 / $1,298.52	Professional		$1,015.20	$1,298.52	$1,298.52
United Facility/Professional Professional Modifier Low / Median / High Price $507.38 / $539.03 / $1,028.40	Professional		$507.38	$539.03	$1,028.40