Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.12 / $578.50 / $2,782.49	Professional		$530.12	$578.50	$2,782.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $551.53	Professional		$402.62	$402.62	$551.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.07 / $1,869.29 / $2,438.02	Professional		$675.07	$1,869.29	$2,438.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.50 / $792.55 / $964.39	Facility		$578.50	$792.55	$964.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $717.06 / $906.53 / $1,012.61	Professional		$717.06	$906.53	$1,012.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.51 / $964.39 / $1,060.83	Facility		$765.51	$964.39	$1,060.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $819.73 / $964.39 / $1,012.61	Professional		$819.73	$964.39	$1,012.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $844.45 / $1,012.61	Facility		$551.53	$844.45	$1,012.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $844.45 / $1,060.83	Professional		$402.62	$844.45	$1,060.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $803.47 / $1,603.74 / $3,383.37	Facility		$803.47	$1,603.74	$3,383.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $829.38 / $1,060.83 / $1,060.83	Professional		$829.38	$1,060.83	$1,060.83
United Facility/Professional Professional Modifier Low / Median / High Price $414.49 / $440.35 / $840.12	Professional		$414.49	$440.35	$840.12