Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.26 / $558.40 / $3,148.12	Professional		$406.26	$558.40	$3,148.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $511.34	Professional		$373.28	$373.28	$511.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.62 / $1,733.63 / $2,261.08	Professional		$651.62	$1,733.63	$2,261.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.40 / $765.01 / $930.88	Facility		$558.40	$765.01	$930.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $692.14 / $875.03 / $930.88	Professional		$692.14	$875.03	$930.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $738.90 / $837.79 / $930.88	Facility		$738.90	$837.79	$930.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $738.90 / $900.16 / $968.12	Professional		$738.90	$900.16	$968.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $798.51 / $977.42	Facility		$511.34	$798.51	$977.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $815.11 / $1,023.97	Professional		$373.28	$815.11	$1,023.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $775.56 / $1,548.02 / $3,265.82	Facility		$775.56	$1,548.02	$3,265.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $800.56 / $1,023.97 / $1,023.97	Professional		$800.56	$1,023.97	$1,023.97
United Facility/Professional Facility Modifier Low / Median / High Price $404.62 / $404.62 / $404.62	Facility		$404.62	$404.62	$404.62
United Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $408.26 / $778.90	Professional		$384.29	$408.26	$778.90