Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $558.15 / $2,925.94	Professional		$329.51	$558.15	$2,925.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $663.31	Professional		$484.22	$484.22	$663.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $1,610.77 / $2,100.84	Professional		$642.40	$1,610.77	$2,100.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.15 / $764.67 / $917.71	Facility		$558.15	$764.67	$917.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $682.37 / $862.65 / $963.60	Professional		$682.37	$862.65	$963.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.48 / $917.71 / $1,014.11	Facility		$728.48	$917.71	$1,014.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $917.71 / $1,014.11	Professional		$729.05	$917.71	$1,014.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.15 / $784.28 / $963.60	Facility		$558.15	$784.28	$963.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $803.58 / $1,009.48	Professional		$484.22	$803.58	$1,009.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $764.59 / $1,526.12 / $3,219.62	Facility		$764.59	$1,526.12	$3,219.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $789.23 / $1,009.48 / $1,009.48	Professional		$789.23	$1,009.48	$1,009.48
United Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $379.44 / $723.93	Professional		$362.53	$379.44	$723.93