Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.63 / $679.36 / $3,861.80	Professional		$451.63	$679.36	$3,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $627.26	Professional		$457.90	$457.90	$627.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.77 / $2,126.40 / $2,773.33	Professional		$792.77	$2,126.40	$2,773.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.36 / $930.72 / $1,132.53	Facility		$679.36	$930.72	$1,132.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $842.08 / $1,064.58 / $1,189.16	Professional		$842.08	$1,064.58	$1,189.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $898.96 / $1,132.53 / $1,245.78	Facility		$898.96	$1,132.53	$1,245.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,019.28 / $1,132.53 / $1,189.16	Professional		$1,019.28	$1,132.53	$1,189.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.52 / $971.48 / $1,189.16	Facility		$603.52	$971.48	$1,189.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $991.68 / $1,245.78	Professional		$457.90	$991.68	$1,245.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $943.56 / $1,883.36 / $3,973.27	Facility		$943.56	$1,883.36	$3,973.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $973.98 / $1,245.78 / $1,245.78	Professional		$973.98	$1,245.78	$1,245.78
United Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $641.24	Facility		$496.34	$496.34	$641.24
United Facility/Professional Professional Modifier Low / Median / High Price $471.41 / $500.81 / $955.48	Professional		$471.41	$500.81	$955.48