Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $545.82 / $2,702.30	Professional		$408.87	$545.82	$2,702.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $567.88	Professional		$414.55	$414.55	$567.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.16 / $1,924.69 / $2,510.27	Professional		$636.16	$1,924.69	$2,510.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.16 / $746.87 / $933.32	Facility		$545.16	$746.87	$933.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.73 / $854.27 / $908.80	Professional		$675.73	$854.27	$908.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $721.39 / $908.80 / $1,175.09	Facility		$721.39	$908.80	$1,175.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $817.92 / $908.80 / $1,175.09	Professional		$817.92	$908.80	$1,175.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.16 / $795.78 / $954.24	Facility		$545.16	$795.78	$954.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $795.78 / $1,025.07	Professional		$414.55	$795.78	$1,025.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $757.17 / $1,511.30 / $3,188.37	Facility		$757.17	$1,511.30	$3,188.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $781.57 / $999.68 / $999.68	Professional		$781.57	$999.68	$999.68
United Facility/Professional Professional Modifier Low / Median / High Price $426.77 / $453.39 / $869.00	Professional		$426.77	$453.39	$869.00