Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.71 / $791.01 / $2,227.56	Professional		$405.71	$791.01	$2,227.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $812.83	Professional		$593.37	$593.37	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $833.08 / $1,086.56	Professional		$277.02	$833.08	$1,086.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.82 / $405.71 / $1,158.47	Facility		$296.82	$405.71	$1,158.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.01 / $395.76 / $1,034.51	Professional		$372.01	$395.76	$1,034.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $395.76 / $589.79 / $1,110.11	Facility		$395.76	$589.79	$1,110.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $589.79 / $941.25	Professional		$589.79	$589.79	$941.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.76 / $415.55 / $919.14	Facility		$395.76	$415.55	$919.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.09 / $602.69 / $1,099.02	Professional		$461.09	$602.69	$1,099.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.29 / $1,868.66 / $2,198.04	Facility		$512.29	$1,868.66	$2,198.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.31 / $435.34 / $1,160.07	Professional		$344.31	$435.34	$1,160.07
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $630.26 / $988.78	Professional		$420.18	$630.26	$988.78