Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.12 / $384.63 / $1,929.35	Professional		$288.12	$384.63	$1,929.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $400.16	Professional		$292.12	$292.12	$400.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.29 / $1,356.51 / $1,769.22	Professional		$448.29	$1,356.51	$1,769.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.16 / $545.90 / $657.86	Facility		$384.16	$545.90	$657.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.17 / $601.99 / $672.43	Professional		$476.17	$601.99	$672.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.34 / $640.41 / $851.25	Facility		$508.34	$640.41	$851.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $576.37 / $640.41 / $851.25	Professional		$576.37	$640.41	$851.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.16 / $560.76 / $672.43	Facility		$384.16	$560.76	$672.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $560.76 / $704.45	Professional		$292.12	$560.76	$704.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $533.54 / $1,064.98 / $2,246.73	Facility		$533.54	$1,064.98	$2,246.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $550.75 / $704.45 / $704.45	Professional		$550.75	$704.45	$704.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,024.66 / $1,024.66 / $1,366.21	Facility		$1,024.66	$1,024.66	$1,366.21
United Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $319.49 / $609.54	Professional		$304.02	$319.49	$609.54