Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.18 / $541.76 / $2,605.80	Professional		$397.18	$541.76	$2,605.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.20 / $1,750.69 / $2,283.33	Professional		$632.20	$1,750.69	$2,283.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.76 / $742.21 / $903.14	Facility		$541.76	$742.21	$903.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $671.53 / $848.95 / $948.30	Professional		$671.53	$848.95	$948.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.90 / $903.14 / $993.45	Facility		$716.90	$903.14	$993.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $903.14 / $948.30	Professional		$812.83	$903.14	$948.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.76 / $775.69 / $948.30	Facility		$541.76	$775.69	$948.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $790.82 / $993.45	Professional		$421.12	$790.82	$993.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $752.45 / $1,501.90 / $3,168.50	Facility		$752.45	$1,501.90	$3,168.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.70 / $993.45 / $993.45	Professional		$776.70	$993.45	$993.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,322.59 / $1,322.59 / $1,763.46	Facility		$1,322.59	$1,322.59	$1,763.46
United Facility/Professional Professional Modifier Low / Median / High Price $388.19 / $412.39 / $790.42	Professional		$388.19	$412.39	$790.42