Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.70 / $525.25 / $3,179.80	Professional		$458.70	$525.25	$3,179.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $565.73	Professional		$412.98	$412.98	$565.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $1,852.25 / $2,415.80	Professional		$612.16	$1,852.25	$2,415.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.60 / $718.70 / $897.68	Facility		$524.60	$718.70	$897.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.25 / $811.33 / $918.26	Professional		$650.25	$811.33	$918.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.18 / $874.53 / $961.98	Facility		$694.18	$874.53	$961.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $787.08 / $874.53 / $961.98	Professional		$787.08	$874.53	$961.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.60 / $751.10 / $918.26	Facility		$524.60	$751.10	$918.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $765.77 / $961.98	Professional		$412.98	$765.77	$961.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $728.61 / $1,454.32 / $3,068.13	Facility		$728.61	$1,454.32	$3,068.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $752.10 / $961.98 / $961.98	Professional		$752.10	$961.98	$961.98
United Facility/Professional Professional Modifier Low / Median / High Price $410.68 / $436.30 / $832.39	Professional		$410.68	$436.30	$832.39