Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $326.50 / $2,064.55	Professional		$233.93	$326.50	$2,064.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $335.34	Professional		$244.80	$244.80	$335.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $1,137.06 / $1,483.01	Professional		$381.00	$1,137.06	$1,483.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.50 / $447.31 / $550.94	Facility		$326.50	$447.31	$550.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.70 / $511.63 / $571.50	Professional		$404.70	$511.63	$571.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.04 / $544.29 / $598.72	Facility		$432.04	$544.29	$598.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $462.65 / $544.29 / $593.77	Professional		$462.65	$544.29	$593.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.50 / $467.46 / $571.50	Facility		$326.50	$467.46	$571.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $476.60 / $598.72	Professional		$244.80	$476.60	$598.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $453.47 / $905.12 / $1,909.55	Facility		$453.47	$905.12	$1,909.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.09 / $598.72 / $598.72	Professional		$468.09	$598.72	$598.72
United Facility/Professional Professional Modifier Low / Median / High Price $252.02 / $267.73 / $510.80	Professional		$252.02	$267.73	$510.80