Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.17 / $569.90 / $2,285.44	Professional		$343.17	$569.90	$2,285.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.91 / $1,677.53 / $2,187.92	Professional		$655.91	$1,677.53	$2,187.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.90 / $780.76 / $937.02	Facility		$569.90	$780.76	$937.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $696.72 / $880.80 / $983.87	Professional		$696.72	$880.80	$983.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $773.54 / $915.06 / $1,030.72	Facility		$773.54	$915.06	$1,030.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $626.75 / $626.75 / $626.75	Professional		$626.75	$626.75	$626.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $710.70 / $937.02	Facility		$477.61	$710.70	$937.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $820.49 / $1,030.72	Professional		$598.35	$820.49	$1,030.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $780.68 / $1,558.24 / $3,287.38	Facility		$780.68	$1,558.24	$3,287.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $815.21 / $1,030.72 / $1,030.72	Professional		$815.21	$1,030.72	$1,030.72
United Facility/Professional Professional Modifier Low / Median / High Price $377.56 / $395.18 / $753.94	Professional		$377.56	$395.18	$753.94