Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $610.92 / $2,686.86	Professional		$332.50	$610.92	$2,686.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $572.20	Professional		$417.71	$417.71	$572.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.14 / $1,625.69 / $2,120.29	Professional		$703.14	$1,625.69	$2,120.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.91 / $787.79 / $1,004.49	Facility		$601.91	$787.79	$1,004.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $746.89 / $944.22 / $1,054.71	Professional		$746.89	$944.22	$1,054.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $797.36 / $999.32 / $1,125.63	Facility		$797.36	$999.32	$1,125.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $797.36 / $1,004.49 / $1,125.63	Professional		$797.36	$1,004.49	$1,125.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.78 / $856.26 / $1,054.71	Facility		$531.78	$856.26	$1,054.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $879.57 / $1,104.94	Professional		$417.71	$879.57	$1,104.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $836.89 / $1,670.44 / $3,524.09	Facility		$836.89	$1,670.44	$3,524.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $863.86 / $1,104.94 / $1,104.94	Professional		$863.86	$1,104.94	$1,104.94
United Facility/Professional Professional Modifier Low / Median / High Price $365.81 / $382.88 / $749.49	Professional		$365.81	$382.88	$749.49