Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $617.17 / $2,752.79	Professional		$409.75	$617.17	$2,752.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $499.17	Professional		$364.39	$364.39	$499.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $1,634.20 / $2,131.42	Professional		$720.21	$1,634.20	$2,131.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.74 / $792.25 / $1,028.86	Facility		$578.74	$792.25	$1,028.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.01 / $967.14 / $1,028.86	Professional		$765.01	$967.14	$1,028.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $816.70 / $999.53 / $1,099.48	Facility		$816.70	$999.53	$1,099.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $925.98 / $1,028.86 / $1,131.76	Professional		$925.98	$1,028.86	$1,131.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $845.54 / $1,080.31	Facility		$499.17	$845.54	$1,080.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $900.92 / $1,131.76	Professional		$364.39	$900.92	$1,131.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $857.20 / $1,710.98 / $3,609.63	Facility		$857.20	$1,710.98	$3,609.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $884.83 / $1,131.76 / $1,131.76	Professional		$884.83	$1,131.76	$1,131.76
United Facility/Professional Professional Modifier Low / Median / High Price $367.81 / $384.97 / $737.86	Professional		$367.81	$384.97	$737.86