Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.22 / $683.52 / $4,191.72	Professional		$490.22	$683.52	$4,191.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $497.03 / $680.86	Professional		$497.03	$497.03	$680.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.62 / $2,308.19 / $3,010.47	Professional		$797.62	$2,308.19	$3,010.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.52 / $936.42 / $1,139.46	Facility		$683.52	$936.42	$1,139.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $847.23 / $1,071.08 / $1,196.43	Professional		$847.23	$1,071.08	$1,196.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $904.48 / $1,089.60 / $1,198.57	Facility		$904.48	$1,089.60	$1,198.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,025.51 / $1,139.46 / $1,198.57	Professional		$1,025.51	$1,139.46	$1,198.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $977.73 / $1,196.43	Facility		$680.86	$977.73	$1,196.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $997.75 / $1,253.41	Professional		$497.03	$997.75	$1,253.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $949.33 / $1,894.88 / $3,997.59	Facility		$949.33	$1,894.88	$3,997.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $979.94 / $1,253.41 / $1,253.41	Professional		$979.94	$1,253.41	$1,253.41
United Facility/Professional Facility Modifier Low / Median / High Price $538.75 / $538.75 / $538.75	Facility		$538.75	$538.75	$538.75
United Facility/Professional Professional Modifier Low / Median / High Price $511.69 / $543.59 / $1,037.10	Professional		$511.69	$543.59	$1,037.10