Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.74 / $994.90 / $4,944.85	Professional		$705.74	$994.90	$4,944.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $926.75	Professional		$787.74	$787.74	$926.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.07 / $3,141.29 / $4,097.03	Professional		$1,145.07	$3,141.29	$4,097.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $994.90 / $1,363.01 / $1,635.82	Facility		$994.90	$1,363.01	$1,635.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.32 / $1,348.02 / $1,635.82	Professional		$654.32	$1,348.02	$1,635.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,298.48 / $1,565.35 / $1,721.89	Facility		$1,298.48	$1,565.35	$1,721.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,472.24 / $1,635.82 / $1,701.25	Professional		$1,472.24	$1,635.82	$1,701.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $1,330.32 / $1,635.82	Facility		$926.75	$1,330.32	$1,635.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $1,432.38 / $1,799.40	Professional		$787.74	$1,432.38	$1,799.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,362.87 / $2,720.30 / $5,738.97	Facility		$1,362.87	$2,720.30	$5,738.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,406.81 / $1,799.40 / $1,799.40	Professional		$1,406.81	$1,799.40	$1,799.40
United Facility/Professional Professional Modifier Low / Median / High Price $706.93 / $739.92 / $1,418.18	Professional		$706.93	$739.92	$1,418.18