Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $646.22 / $3,108.22	Professional		$186.00	$646.22	$3,108.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $616.27	Professional		$449.88	$449.88	$616.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $2,088.73 / $2,724.26	Professional		$754.10	$2,088.73	$2,724.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.22 / $924.09 / $1,103.73	Facility		$646.22	$924.09	$1,103.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $1,025.36 / $1,131.14	Professional		$815.43	$1,025.36	$1,131.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,052.03 / $1,077.28 / $1,229.92	Facility		$1,052.03	$1,077.28	$1,229.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $855.80 / $855.80 / $855.80	Professional		$855.80	$855.80	$855.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.22 / $943.30 / $1,131.14	Facility		$646.22	$943.30	$1,131.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $943.30 / $1,185.01	Professional		$449.88	$943.30	$1,185.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $897.53 / $1,791.48 / $3,779.43	Facility		$897.53	$1,791.48	$3,779.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $926.46 / $1,185.01 / $1,185.01	Professional		$926.46	$1,185.01	$1,185.01
United Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $492.02 / $943.05	Professional		$470.09	$492.02	$943.05