Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.68 / $709.57 / $4,532.55	Professional		$503.68	$709.57	$4,532.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $736.22	Professional		$537.44	$537.44	$736.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.01 / $2,495.69 / $3,255.01	Professional		$828.01	$2,495.69	$3,255.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.57 / $972.11 / $1,209.53	Facility		$709.57	$972.11	$1,209.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.51 / $1,097.39 / $1,242.01	Professional		$879.51	$1,097.39	$1,242.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.94 / $1,155.15 / $1,296.03	Facility		$938.94	$1,155.15	$1,296.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,064.58 / $1,178.21 / $1,182.86	Professional		$1,064.58	$1,178.21	$1,182.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.34 / $1,015.93 / $1,242.01	Facility		$708.34	$1,015.93	$1,242.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $1,035.77 / $1,301.16	Professional		$537.44	$1,035.77	$1,301.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $985.51 / $1,967.08 / $4,149.92	Facility		$985.51	$1,967.08	$4,149.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.27 / $1,301.16 / $1,301.16	Professional		$1,017.27	$1,301.16	$1,301.16
United Facility/Professional Professional Modifier Low / Median / High Price $559.34 / $587.79 / $1,121.44	Professional		$559.34	$587.79	$1,121.44