Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.78 / $636.67 / $3,062.31	Professional		$466.78	$636.67	$3,062.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $607.01	Professional		$443.12	$443.12	$607.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.97 / $2,057.50 / $2,683.50	Professional		$742.97	$2,057.50	$2,683.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.76 / $872.25 / $1,061.39	Facility		$531.76	$872.25	$1,061.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $789.17 / $997.71 / $1,114.46	Professional		$789.17	$997.71	$1,114.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $842.50 / $1,061.39 / $1,167.53	Facility		$842.50	$1,061.39	$1,167.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $902.18 / $1,061.39 / $1,099.36	Professional		$902.18	$1,061.39	$1,099.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $929.38 / $1,114.46	Facility		$607.01	$929.38	$1,114.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $929.38 / $1,167.53	Professional		$443.12	$929.38	$1,167.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $884.28 / $1,765.02 / $3,723.65	Facility		$884.28	$1,765.02	$3,723.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.80 / $1,167.53 / $1,167.53	Professional		$912.80	$1,167.53	$1,167.53
United Facility/Professional Professional Modifier Low / Median / High Price $456.19 / $484.64 / $924.63	Professional		$456.19	$484.64	$924.63