Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.21 / $625.11 / $1,605.73	Professional		$535.21	$625.11	$1,605.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $700.00	Professional		$511.00	$511.00	$700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.46 / $2,176.81 / $2,839.12	Professional		$729.46	$2,176.81	$2,839.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.11 / $856.40 / $1,055.08	Facility		$625.11	$856.40	$1,055.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $979.56 / $1,094.19	Professional		$774.84	$979.56	$1,094.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.19 / $1,042.08 / $1,158.28	Facility		$827.19	$1,042.08	$1,158.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $937.88 / $1,042.08 / $1,198.40	Professional		$937.88	$1,042.08	$1,198.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.11 / $895.01 / $1,094.19	Facility		$625.11	$895.01	$1,094.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $912.49 / $1,146.30	Professional		$511.00	$912.49	$1,146.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $868.21 / $1,732.96 / $3,655.98	Facility		$868.21	$1,732.96	$3,655.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $896.20 / $1,146.30 / $1,146.30	Professional		$896.20	$1,146.30	$1,146.30
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $512.69 / $978.15	Professional		$482.60	$512.69	$978.15