Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.04 / $647.58 / $3,732.96	Professional		$441.04	$647.58	$3,732.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $751.98	Professional		$548.95	$548.95	$751.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.69 / $2,055.36 / $2,680.72	Professional		$755.69	$2,055.36	$2,680.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.58 / $887.18 / $1,079.55	Facility		$647.58	$887.18	$1,079.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $802.68 / $1,014.78 / $1,133.53	Professional		$802.68	$1,014.78	$1,133.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.91 / $971.60 / $1,079.55	Facility		$856.91	$971.60	$1,079.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $970.36 / $1,025.57 / $1,079.55	Professional		$970.36	$1,025.57	$1,079.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.58 / $926.04 / $1,133.53	Facility		$647.58	$926.04	$1,133.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $945.29 / $1,187.51	Professional		$548.95	$945.29	$1,187.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $899.42 / $1,795.24 / $3,787.40	Facility		$899.42	$1,795.24	$3,787.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $928.41 / $1,187.51 / $1,187.51	Professional		$928.41	$1,187.51	$1,187.51
United Facility/Professional Facility Modifier Low / Median / High Price $479.78 / $479.78 / $484.89	Facility		$479.78	$479.78	$484.89
United Facility/Professional Professional Modifier Low / Median / High Price $455.69 / $484.10 / $923.61	Professional		$455.69	$484.10	$923.61