Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.97 / $590.55 / $3,042.91	Professional		$403.97	$590.55	$3,042.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $494.25	Professional		$360.80	$360.80	$494.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.14 / $1,675.40 / $2,185.14	Professional		$689.14	$1,675.40	$2,185.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.48 / $809.07 / $984.48	Facility		$575.48	$809.07	$984.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $732.00 / $925.41 / $1,033.70	Professional		$732.00	$925.41	$1,033.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.44 / $870.08 / $984.48	Facility		$772.44	$870.08	$984.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $790.98 / $984.48 / $988.73	Professional		$790.98	$984.48	$988.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.23 / $833.32 / $1,033.70	Facility		$493.23	$833.32	$1,033.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $862.05 / $1,082.93	Professional		$360.80	$862.05	$1,082.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $820.22 / $1,637.16 / $3,453.89	Facility		$820.22	$1,637.16	$3,453.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $846.65 / $1,082.93 / $1,082.93	Professional		$846.65	$1,082.93	$1,082.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.45 / $394.61 / $756.34	Professional		$371.45	$394.61	$756.34