Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $428.86 / $1,036.83	Professional		$136.00	$428.86	$1,036.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $465.67	Facility		$465.67	$465.67	$465.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $465.67	Professional		$339.94	$339.94	$465.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $933.22 / $1,217.15	Professional		$310.23	$933.22	$1,217.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.39 / $443.19 / $600.29	Facility		$332.39	$443.19	$600.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.60 / $443.19 / $541.03	Professional		$416.60	$443.19	$541.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.19 / $451.52 / $613.30	Facility		$443.19	$451.52	$613.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $451.52 / $451.52 / $451.52	Professional		$451.52	$451.52	$451.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.07 / $459.05 / $588.91	Facility		$335.07	$459.05	$588.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $485.70 / $588.91	Professional		$339.94	$485.70	$588.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $456.11 / $968.34 / $1,773.92	Facility		$456.11	$968.34	$1,773.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.58 / $487.51 / $640.91	Professional		$385.58	$487.51	$640.91
United Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $341.71 / $536.08	Professional		$321.64	$341.71	$536.08