Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $582.45 / $3,127.72	Professional		$414.89	$582.45	$3,127.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $694.09	Facility		$694.09	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $694.09	Professional		$506.69	$506.69	$694.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.36 / $2,028.37 / $2,645.51	Professional		$670.36	$2,028.37	$2,645.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.45 / $816.33 / $985.05	Facility		$582.45	$816.33	$985.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.06 / $900.20 / $1,005.54	Professional		$712.06	$900.20	$1,005.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.18 / $957.66 / $1,276.88	Facility		$760.18	$957.66	$1,276.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $957.66 / $957.66 / $1,276.88	Professional		$957.66	$957.66	$1,276.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.45 / $838.56 / $1,005.54	Facility		$582.45	$838.56	$1,005.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $838.56 / $1,053.43	Professional		$506.69	$838.56	$1,053.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.87 / $1,592.56 / $3,359.77	Facility		$797.87	$1,592.56	$3,359.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $823.59 / $1,053.43 / $1,053.43	Professional		$823.59	$1,053.43	$1,053.43
United Facility/Professional Professional Modifier Low / Median / High Price $456.47 / $477.77 / $911.52	Professional		$456.47	$477.77	$911.52