Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.04 / $577.57 / $738.73	Professional		$520.04	$577.57	$738.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $691.58 / $691.58	Facility		$691.58	$691.58	$691.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.58 / $1,374.54 / $1,824.17	Professional		$847.58	$1,374.54	$1,824.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.31 / $1,439.65 / $1,650.18	Professional		$1,179.31	$1,439.65	$1,650.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.13 / $738.73 / $1,341.30	Facility		$541.13	$738.73	$1,341.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.85 / $514.07 / $541.13	Facility		$359.85	$514.07	$541.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.13 / $738.73 / $1,341.30	Facility		$541.13	$738.73	$1,341.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.36 / $1,121.34 / $1,679.82	Professional		$649.36	$1,121.34	$1,679.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $922.86 / $1,191.83 / $1,628.75	Professional		$922.86	$1,191.83	$1,628.75
United Facility/Professional Facility Modifier Low / Median / High Price $661.12 / $1,612.88 / $1,992.82	Facility		$661.12	$1,612.88	$1,992.82
United Facility/Professional Professional Modifier Low / Median / High Price $828.34 / $1,182.68 / $1,938.82	Professional		$828.34	$1,182.68	$1,938.82