Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.83 / $654.38 / $2,694.25	Professional		$407.83	$654.38	$2,694.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $583.49	Professional		$425.95	$425.95	$583.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.17 / $1,977.96 / $2,579.75	Professional		$753.17	$1,977.96	$2,579.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.38 / $896.50 / $1,075.95	Facility		$654.38	$896.50	$1,075.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $792.08 / $998.19 / $1,075.95	Professional		$792.08	$998.19	$1,075.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $854.05 / $970.24 / $1,075.95	Facility		$854.05	$970.24	$1,075.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $1,075.95 / $1,075.95	Professional		$968.36	$1,075.95	$1,075.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.41 / $924.08 / $1,129.75	Facility		$561.41	$924.08	$1,129.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $942.13 / $1,183.55	Professional		$425.95	$942.13	$1,183.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $896.41 / $1,521.12 / $3,740.32	Facility		$896.41	$1,521.12	$3,740.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $925.32 / $1,183.55 / $1,183.55	Professional		$925.32	$1,183.55	$1,183.55
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $445.09 / $465.86 / $892.91	Professional		$445.09	$465.86	$892.91