Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $575.39 / $2,656.81	Professional		$484.42	$575.39	$2,656.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $632.51	Professional		$461.73	$461.73	$632.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.41 / $1,950.25 / $2,543.61	Professional		$669.41	$1,950.25	$2,543.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $785.90 / $956.30	Facility		$573.65	$785.90	$956.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.05 / $898.92 / $956.30	Professional		$711.05	$898.92	$956.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.09 / $933.89 / $1,046.14	Facility		$759.09	$933.89	$1,046.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $759.09 / $951.04 / $1,046.14	Professional		$759.09	$951.04	$1,046.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $821.34 / $1,004.12	Facility		$573.65	$821.34	$1,004.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $837.37 / $1,051.93	Professional		$461.73	$837.37	$1,051.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $796.74 / $1,590.30 / $3,355.01	Facility		$796.74	$1,590.30	$3,355.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $822.42 / $1,051.93 / $1,051.93	Professional		$822.42	$1,051.93	$1,051.93
United Facility/Professional Professional Modifier Low / Median / High Price $437.15 / $459.39 / $880.50	Professional		$437.15	$459.39	$880.50