Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $669.26 / $2,891.13	Professional		$389.24	$669.26	$2,891.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.29 / $1,747.83 / $2,279.62	Professional		$770.29	$1,747.83	$2,279.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.30 / $869.84 / $1,100.41	Facility		$656.30	$869.84	$1,100.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $818.20 / $1,034.39 / $1,100.41	Professional		$818.20	$1,034.39	$1,100.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $805.96 / $935.35 / $1,100.41	Facility		$805.96	$935.35	$1,100.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $825.31 / $1,045.39 / $1,100.41	Professional		$825.31	$1,045.39	$1,100.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.39 / $938.00 / $1,155.43	Facility		$646.39	$938.00	$1,155.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $963.56 / $1,210.45	Professional		$507.72	$963.56	$1,210.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $916.80 / $1,829.94 / $3,860.60	Facility		$916.80	$1,829.94	$3,860.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $946.35 / $1,210.45 / $1,210.45	Professional		$946.35	$1,210.45	$1,210.45
United Facility/Professional Professional Modifier Low / Median / High Price $393.38 / $411.74 / $785.54	Professional		$393.38	$411.74	$785.54