Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $718.80 / $3,985.02	Professional		$482.18	$718.80	$3,985.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $732.49	Professional		$535.05	$535.05	$732.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.78 / $2,193.85 / $2,861.34	Professional		$838.78	$2,193.85	$2,861.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.80 / $984.76 / $1,198.25	Facility		$718.80	$984.76	$1,198.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $890.96 / $1,126.35 / $1,258.16	Professional		$890.96	$1,126.35	$1,258.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $951.15 / $1,078.43 / $1,198.25	Facility		$951.15	$1,078.43	$1,198.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,035.88 / $1,139.47 / $1,198.25	Professional		$1,035.88	$1,139.47	$1,198.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.20 / $1,027.88 / $1,258.16	Facility		$681.20	$1,027.88	$1,258.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $1,049.24 / $1,318.08	Professional		$535.05	$1,049.24	$1,318.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $998.33 / $1,992.68 / $4,203.88	Facility		$998.33	$1,992.68	$4,203.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,030.50 / $1,318.08 / $1,318.08	Professional		$1,030.50	$1,318.08	$1,318.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.40 / $1,657.40 / $2,209.87	Facility		$1,657.40	$1,657.40	$2,209.87
United Facility/Professional Professional Modifier Low / Median / High Price $486.45 / $516.79 / $985.97	Professional		$486.45	$516.79	$985.97