Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.07 / $804.84 / $5,155.21	Professional		$714.07	$804.84	$5,155.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $611.27 / $837.35	Professional		$611.27	$611.27	$837.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.04 / $2,838.73 / $3,702.43	Professional		$938.04	$2,838.73	$3,702.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.86 / $1,101.29 / $1,375.85	Facility		$803.86	$1,101.29	$1,375.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $996.39 / $1,259.66 / $1,407.06	Professional		$996.39	$1,259.66	$1,407.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.71 / $1,308.66 / $1,474.07	Facility		$1,063.71	$1,308.66	$1,474.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,206.05 / $1,340.06 / $1,474.07	Professional		$1,206.05	$1,340.06	$1,474.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.86 / $1,173.41 / $1,407.06	Facility		$803.86	$1,173.41	$1,407.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $1,173.41 / $1,474.07	Professional		$611.27	$1,173.41	$1,474.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,116.47 / $2,228.48 / $4,701.38	Facility		$1,116.47	$2,228.48	$4,701.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,152.45 / $1,474.07 / $1,474.07	Professional		$1,152.45	$1,474.07	$1,474.07
United Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $662.58	Facility		$662.58	$662.58	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $629.29 / $668.54 / $1,275.49	Professional		$629.29	$668.54	$1,275.49