Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $592.44 / $2,849.53	Professional		$434.35	$592.44	$2,849.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $710.11	Professional		$518.38	$518.38	$710.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.33 / $1,914.74 / $2,497.29	Professional		$691.33	$1,914.74	$2,497.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.44 / $811.64 / $987.62	Facility		$592.44	$811.64	$987.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $928.36 / $1,037.00	Professional		$734.34	$928.36	$1,037.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.96 / $987.62 / $1,086.38	Facility		$783.96	$987.62	$1,086.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $783.96 / $987.62 / $1,022.99	Professional		$783.96	$987.62	$1,022.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.44 / $847.19 / $1,037.00	Facility		$592.44	$847.19	$1,037.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $864.79 / $1,086.38	Professional		$518.38	$864.79	$1,086.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $822.83 / $1,642.38 / $3,464.87	Facility		$822.83	$1,642.38	$3,464.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $849.35 / $1,086.38 / $1,086.38	Professional		$849.35	$1,086.38	$1,086.38
United Facility/Professional Professional Modifier Low / Median / High Price $429.13 / $450.97 / $860.38	Professional		$429.13	$450.97	$860.38