Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $459.35 / $2,763.13	Professional		$352.85	$459.35	$2,763.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility		$512.80	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $374.35 / $512.80	Professional		$374.35	$374.35	$512.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.03 / $1,521.28 / $1,984.14	Professional		$536.03	$1,521.28	$1,984.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $459.35 / $629.30 / $765.76	Facility		$459.35	$629.30	$765.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.36 / $719.81 / $804.05	Professional		$569.36	$719.81	$804.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.84 / $718.26 / $790.09	Facility		$607.84	$718.26	$790.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $689.18 / $765.76 / $781.08	Professional		$689.18	$765.76	$781.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.35 / $656.87 / $804.05	Facility		$459.35	$656.87	$804.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $670.52 / $842.34	Professional		$374.35	$670.52	$842.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $637.98 / $1,273.42 / $2,686.51	Facility		$637.98	$1,273.42	$2,686.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $658.55 / $842.34 / $842.34	Professional		$658.55	$842.34	$842.34
United Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $358.33 / $701.42	Professional		$337.30	$358.33	$701.42