Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.17 / $716.34 / $3,862.25	Professional		$437.17	$716.34	$3,862.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.48 / $2,126.40 / $2,773.33	Professional		$824.48	$2,126.40	$2,773.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.34 / $990.68 / $1,177.83	Facility		$716.34	$990.68	$1,177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $875.75 / $1,107.16 / $1,236.72	Professional		$875.75	$1,107.16	$1,236.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $947.43 / $1,167.32 / $1,295.60	Facility		$947.43	$1,167.32	$1,295.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,060.05 / $1,177.83 / $1,195.33	Professional		$1,060.05	$1,177.83	$1,195.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.08 / $1,031.33 / $1,236.72	Facility		$711.08	$1,031.33	$1,236.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $1,031.33 / $1,295.60	Professional		$558.53	$1,031.33	$1,295.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $981.29 / $1,958.66 / $4,132.17	Facility		$981.29	$1,958.66	$4,132.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,012.93 / $1,295.60 / $1,295.60	Professional		$1,012.93	$1,295.60	$1,295.60
United Facility/Professional Professional Modifier Low / Median / High Price $478.54 / $500.87 / $955.59	Professional		$478.54	$500.87	$955.59