Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.47 / $326.91 / $1,865.65	Professional		$252.47	$326.91	$1,865.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $328.44	Professional		$239.76	$239.76	$328.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.49 / $1,113.60 / $1,452.43	Professional		$381.49	$1,113.60	$1,452.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $447.87 / $544.98	Facility		$326.91	$447.87	$544.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $512.28 / $572.23	Professional		$405.19	$512.28	$572.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.58 / $525.62 / $578.17	Facility		$432.58	$525.62	$578.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $544.98 / $544.98	Professional		$463.23	$544.98	$544.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $468.05 / $572.23	Facility		$326.91	$468.05	$572.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $477.20 / $599.48	Professional		$239.76	$477.20	$599.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $454.04 / $906.26 / $1,911.95	Facility		$454.04	$906.26	$1,911.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.68 / $599.48 / $599.48	Professional		$468.68	$599.48	$599.48
United Facility/Professional Professional Modifier Low / Median / High Price $246.83 / $262.22 / $513.29	Professional		$246.83	$262.22	$513.29