Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $395.11 / $1,900.41	Professional		$226.71	$395.11	$1,900.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.07 / $1,046.14 / $1,364.44	Professional		$461.07	$1,046.14	$1,364.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.11 / $507.13 / $658.67	Facility		$395.11	$507.13	$658.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.74 / $619.15 / $691.60	Professional		$489.74	$619.15	$691.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.83 / $592.79 / $658.67	Facility		$522.83	$592.79	$658.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $658.67 / $658.67	Professional		$549.16	$658.67	$658.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.18 / $561.46 / $691.60	Facility		$360.18	$561.46	$691.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $576.75 / $724.54	Professional		$282.89	$576.75	$724.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $548.76 / $1,095.33 / $2,310.81	Facility		$548.76	$1,095.33	$2,310.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $724.54 / $724.54	Professional		$566.46	$724.54	$724.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.52 / $246.45 / $470.19	Professional		$234.52	$246.45	$470.19