Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $603.47 / $778.54	Professional		$502.94	$603.47	$778.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $702.03	Professional		$512.48	$512.48	$702.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.61 / $2,045.43 / $2,667.74	Professional		$738.61	$2,045.43	$2,667.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $632.96 / $867.16 / $1,055.16	Facility		$632.96	$867.16	$1,055.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.56 / $991.85 / $1,107.92	Professional		$784.56	$991.85	$1,107.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $837.56 / $1,055.16 / $1,160.68	Facility		$837.56	$1,055.16	$1,160.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $949.64 / $1,055.16 / $1,092.96	Professional		$949.64	$1,055.16	$1,092.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.96 / $905.13 / $1,107.92	Facility		$632.96	$905.13	$1,107.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $923.94 / $1,160.68	Professional		$512.48	$923.94	$1,160.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $879.11 / $1,754.72 / $3,701.86	Facility		$879.11	$1,754.72	$3,701.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $907.44 / $1,160.68 / $1,160.68	Professional		$907.44	$1,160.68	$1,160.68
United Facility/Professional Professional Modifier Low / Median / High Price $453.52 / $481.81 / $923.46	Professional		$453.52	$481.81	$923.46