Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.36 / $701.02 / $4,434.10	Professional		$499.36	$701.02	$4,434.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $812.21	Professional		$592.91	$592.91	$812.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $2,441.71 / $3,184.63	Professional		$806.83	$2,441.71	$3,184.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.02 / $982.51 / $1,183.55	Facility		$701.02	$982.51	$1,183.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.01 / $1,083.46 / $1,210.25	Professional		$857.01	$1,083.46	$1,210.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.93 / $1,152.61 / $1,536.83	Facility		$914.93	$1,152.61	$1,536.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $979.73 / $1,152.61 / $1,536.83	Professional		$979.73	$1,152.61	$1,536.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.96 / $1,009.27 / $1,210.25	Facility		$692.96	$1,009.27	$1,210.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $1,009.27 / $1,267.88	Professional		$592.91	$1,009.27	$1,267.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $960.30 / $1,916.76 / $4,043.74	Facility		$960.30	$1,916.76	$4,043.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $991.25 / $1,267.88 / $1,267.88	Professional		$991.25	$1,267.88	$1,267.88
United Facility/Professional Professional Modifier Low / Median / High Price $549.40 / $575.03 / $1,097.08	Professional		$549.40	$575.03	$1,097.08