Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $671.16 / $3,228.14	Professional		$363.48	$671.16	$3,228.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $524.34	Professional		$382.77	$382.77	$524.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.20 / $1,777.67 / $2,318.54	Professional		$783.20	$1,777.67	$2,318.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.71 / $861.30 / $1,118.84	Facility		$657.71	$861.30	$1,118.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.91 / $1,051.72 / $1,118.84	Professional		$831.91	$1,051.72	$1,118.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.61 / $1,006.97 / $1,118.84	Facility		$886.61	$1,006.97	$1,118.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,118.84 / $1,174.79	Professional		$907.89	$1,118.84	$1,174.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.08 / $926.61 / $1,174.79	Facility		$557.08	$926.61	$1,174.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $979.71 / $1,230.74	Professional		$382.77	$979.71	$1,230.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $932.16 / $1,860.60 / $3,925.31	Facility		$932.16	$1,860.60	$3,925.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $962.21 / $1,230.74 / $1,230.74	Professional		$962.21	$1,230.74	$1,230.74
United Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $418.64 / $798.71	Professional		$398.37	$418.64	$798.71