Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.19 / $724.31 / $3,436.10	Professional		$488.19	$724.31	$3,436.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.64 / $2,316.71 / $3,021.58	Professional		$833.64	$2,316.71	$3,021.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.31 / $992.30 / $1,190.91	Facility		$724.31	$992.30	$1,190.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $876.73 / $1,089.25 / $1,190.91	Professional		$876.73	$1,089.25	$1,190.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $945.33 / $1,163.00 / $1,309.83	Facility		$945.33	$1,163.00	$1,309.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,071.82 / $1,190.91 / $1,190.91	Professional		$1,071.82	$1,190.91	$1,190.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.31 / $1,035.76 / $1,250.46	Facility		$724.31	$1,035.76	$1,250.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $1,042.81 / $1,310.00	Professional		$699.14	$1,042.81	$1,310.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $992.21 / $1,980.46 / $4,178.12	Facility		$992.21	$1,980.46	$4,178.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,024.18 / $1,310.00 / $1,310.00	Professional		$1,024.18	$1,310.00	$1,310.00
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $521.38 / $545.71 / $1,045.94	Professional		$521.38	$545.71	$1,045.94