Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.69 / $664.99 / $4,206.26	Professional		$473.69	$664.99	$4,206.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $719.79	Professional		$525.45	$525.45	$719.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.37 / $2,316.01 / $3,020.67	Professional		$765.37	$2,316.01	$3,020.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.99 / $932.02 / $1,122.66	Facility		$664.99	$932.02	$1,122.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.97 / $1,027.79 / $1,148.06	Professional		$812.97	$1,027.79	$1,148.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $867.91 / $1,093.39 / $1,457.85	Facility		$867.91	$1,093.39	$1,457.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $1,093.39 / $1,457.85	Professional		$868.60	$1,093.39	$1,457.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.99 / $957.41 / $1,148.06	Facility		$664.99	$957.41	$1,148.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $957.41 / $1,202.73	Professional		$525.45	$957.41	$1,202.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $910.95 / $1,818.26 / $3,835.96	Facility		$910.95	$1,818.26	$3,835.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $940.32 / $1,202.73 / $1,202.73	Professional		$940.32	$1,202.73	$1,202.73
United Facility/Professional Professional Modifier Low / Median / High Price $521.16 / $545.48 / $1,040.70	Professional		$521.16	$545.48	$1,040.70