Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $580.66 / $3,672.89	Professional		$413.63	$580.66	$3,672.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $596.58	Professional		$435.50	$435.50	$596.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $2,021.98 / $2,637.18	Professional		$668.33	$2,021.98	$2,637.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $813.84 / $980.10	Facility		$580.66	$813.84	$980.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $897.47 / $1,002.49	Professional		$709.89	$897.47	$1,002.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.85 / $954.75 / $1,165.73	Facility		$757.85	$954.75	$1,165.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $859.28 / $954.75 / $1,165.73	Professional		$859.28	$954.75	$1,165.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.99 / $836.01 / $1,002.49	Facility		$573.99	$836.01	$1,002.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $836.01 / $1,050.23	Professional		$435.50	$836.01	$1,050.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $795.44 / $1,587.70 / $3,349.56	Facility		$795.44	$1,587.70	$3,349.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $821.09 / $1,050.23 / $1,050.23	Professional		$821.09	$1,050.23	$1,050.23
United Facility/Professional Facility Modifier Low / Median / High Price $629.41 / $629.41 / $645.90	Facility		$629.41	$629.41	$645.90
United Facility/Professional Professional Modifier Low / Median / High Price $453.25 / $476.31 / $908.74	Professional		$453.25	$476.31	$908.74