Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.17 / $695.10 / $3,823.04	Professional		$448.17	$695.10	$3,823.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $620.97	Facility		$620.97	$620.97	$620.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $620.97	Professional		$453.31	$453.31	$620.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.13 / $2,105.08 / $2,745.55	Professional		$811.13	$2,105.08	$2,745.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.10 / $952.29 / $1,158.76	Facility		$695.10	$952.29	$1,158.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.57 / $1,089.23 / $1,216.70	Professional		$861.57	$1,089.23	$1,216.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.79 / $1,042.88 / $1,158.76	Facility		$919.79	$1,042.88	$1,158.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $993.78 / $1,158.76 / $1,216.70	Professional		$993.78	$1,158.76	$1,216.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.46 / $993.99 / $1,216.70	Facility		$597.46	$993.99	$1,216.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $1,014.65 / $1,274.64	Professional		$453.31	$1,014.65	$1,274.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $965.41 / $1,926.96 / $4,065.30	Facility		$965.41	$1,926.96	$4,065.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $996.53 / $1,274.64 / $1,274.64	Professional		$996.53	$1,274.64	$1,274.64
United Facility/Professional Professional Modifier Low / Median / High Price $471.79 / $495.79 / $945.89	Professional		$471.79	$495.79	$945.89