Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.10 / $572.10 / $2,714.03	Professional		$325.10	$572.10	$2,714.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $448.56	Professional		$327.45	$327.45	$448.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.46 / $1,494.29 / $1,948.94	Professional		$658.46	$1,494.29	$1,948.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.10 / $732.29 / $940.65	Facility		$572.10	$732.29	$940.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $699.41 / $884.21 / $987.68	Professional		$699.41	$884.21	$987.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.68 / $898.74 / $988.61	Facility		$746.68	$898.74	$988.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $799.55 / $940.65 / $940.65	Professional		$799.55	$940.65	$940.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $801.82 / $987.68	Facility		$448.56	$801.82	$987.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $823.67 / $1,034.72	Professional		$327.45	$823.67	$1,034.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $783.70 / $1,564.28 / $3,300.12	Facility		$783.70	$1,564.28	$3,300.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $808.96 / $1,034.72 / $1,034.72	Professional		$808.96	$1,034.72	$1,034.72
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $336.27 / $351.96 / $671.50	Professional		$336.27	$351.96	$671.50