Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.36 / $578.19 / $2,727.52	Professional		$362.36	$578.19	$2,727.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $510.69	Professional		$434.09	$434.09	$510.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.46 / $1,730.80 / $2,257.40	Professional		$665.46	$1,730.80	$2,257.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.19 / $792.12 / $950.66	Facility		$578.19	$792.12	$950.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.71 / $903.13 / $998.19	Professional		$713.71	$903.13	$998.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.59 / $936.64 / $1,055.03	Facility		$855.59	$936.64	$1,055.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $792.12 / $950.66	Facility		$510.69	$792.12	$950.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $832.43 / $1,045.73	Professional		$434.09	$832.43	$1,045.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $792.04 / $1,580.92 / $3,335.21	Facility		$792.04	$1,580.92	$3,335.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $827.07 / $1,045.73 / $1,045.73	Professional		$827.07	$1,045.73	$1,045.73
United Facility/Professional Professional Modifier Low / Median / High Price $389.56 / $407.74 / $777.91	Professional		$389.56	$407.74	$777.91