Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.34 / $629.50 / $3,027.75	Professional		$486.34	$629.50	$3,027.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $731.38	Facility		$731.38	$731.38	$731.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $731.38	Professional		$533.91	$533.91	$731.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.58 / $2,034.76 / $2,653.85	Professional		$734.58	$2,034.76	$2,653.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.50 / $862.42 / $1,049.40	Facility		$629.50	$862.42	$1,049.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.26 / $986.44 / $1,101.86	Professional		$780.26	$986.44	$1,101.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.99 / $1,049.40 / $1,154.33	Facility		$832.99	$1,049.40	$1,154.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $832.99 / $1,049.40 / $1,086.91	Professional		$832.99	$1,049.40	$1,086.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.50 / $900.19 / $1,101.86	Facility		$629.50	$900.19	$1,101.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $918.89 / $1,154.33	Professional		$533.91	$918.89	$1,154.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $874.30 / $1,745.10 / $3,681.62	Facility		$874.30	$1,745.10	$3,681.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $1,154.33 / $1,154.33	Professional		$902.48	$1,154.33	$1,154.33
United Facility/Professional Professional Modifier Low / Median / High Price $455.98 / $479.17 / $914.19	Professional		$455.98	$479.17	$914.19