Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $401.14 / $2,515.58	Professional		$294.19	$401.14	$2,515.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $408.60	Professional		$298.27	$298.27	$408.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.10 / $1,384.93 / $1,806.27	Professional		$468.10	$1,384.93	$1,806.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.14 / $549.55 / $671.22	Facility		$401.14	$549.55	$671.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $497.22 / $628.59 / $702.15	Professional		$497.22	$628.59	$702.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.83 / $653.04 / $725.20	Facility		$530.83	$653.04	$725.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $601.84 / $659.27 / $668.71	Professional		$601.84	$659.27	$668.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.14 / $574.34 / $702.15	Facility		$401.14	$574.34	$702.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $585.54 / $735.58	Professional		$298.27	$585.54	$735.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $557.14 / $1,112.06 / $2,346.06	Facility		$557.14	$1,112.06	$2,346.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $735.58 / $735.58	Professional		$575.09	$735.58	$735.58
United Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $326.23 / $622.40	Professional		$310.44	$326.23	$622.40