Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $396.94 / $1,909.19	Professional		$291.01	$396.94	$1,909.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $419.48	Professional		$306.22	$306.22	$419.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $1,282.65 / $1,672.90	Professional		$463.20	$1,282.65	$1,672.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.94 / $543.80 / $661.72	Facility		$396.94	$543.80	$661.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.01 / $622.02 / $694.81	Professional		$492.01	$622.02	$694.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.25 / $661.72 / $727.89	Facility		$525.25	$661.72	$727.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $595.54 / $661.72 / $727.89	Professional		$595.54	$661.72	$727.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.94 / $567.62 / $694.81	Facility		$396.94	$567.62	$694.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $579.41 / $727.89	Professional		$306.22	$579.41	$727.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $551.29 / $1,100.40 / $2,321.50	Facility		$551.29	$1,100.40	$2,321.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.08 / $727.89 / $727.89	Professional		$569.08	$727.89	$727.89
United Facility/Professional Professional Modifier Low / Median / High Price $284.41 / $302.14 / $576.46	Professional		$284.41	$302.14	$576.46