Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.71 / $704.07 / $4,104.97	Professional		$405.71	$704.07	$4,104.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
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
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 / $623.53 / $1,099.02	Professional		$461.09	$623.53	$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 $384.24 / $630.26 / $988.78	Professional		$384.24	$630.26	$988.78