Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $631.05 / $2,495.80	Professional		$357.19	$631.05	$2,495.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $649.92	Professional		$474.45	$474.45	$649.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.32 / $1,713.03 / $2,234.23	Professional		$726.32	$1,713.03	$2,234.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.02 / $830.12 / $1,037.59	Facility		$626.02	$830.12	$1,037.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $771.50 / $975.34 / $1,089.48	Professional		$771.50	$975.34	$1,089.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $823.63 / $1,037.59 / $1,141.35	Facility		$823.63	$1,037.59	$1,141.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $823.63 / $1,037.59 / $1,078.30	Professional		$823.63	$1,037.59	$1,078.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.01 / $884.47 / $1,089.48	Facility		$549.01	$884.47	$1,089.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $908.56 / $1,141.35	Professional		$474.45	$908.56	$1,141.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $864.47 / $1,725.48 / $3,640.24	Facility		$864.47	$1,725.48	$3,640.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $892.34 / $1,141.35 / $1,141.35	Professional		$892.34	$1,141.35	$1,141.35
United Facility/Professional Professional Modifier Low / Median / High Price $385.48 / $403.46 / $769.76	Professional		$385.48	$403.46	$769.76