Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.68 / $501.16 / $3,085.35	Professional		$417.68	$501.16	$3,085.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $365.83 / $501.14	Professional		$365.83	$365.83	$501.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.41 / $1,698.84 / $2,215.69	Professional		$561.41	$1,698.84	$2,215.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.10 / $659.11 / $823.43	Facility		$481.10	$659.11	$823.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.33 / $753.89 / $802.01	Professional		$596.33	$753.89	$802.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.63 / $783.22 / $882.21	Facility		$636.63	$783.22	$882.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $681.71 / $802.01 / $802.01	Professional		$681.71	$802.01	$802.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.10 / $688.82 / $842.11	Facility		$481.10	$688.82	$842.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $702.27 / $882.21	Professional		$365.83	$702.27	$882.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $668.19 / $1,333.72 / $2,813.71	Facility		$668.19	$1,333.72	$2,813.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $689.73 / $882.21 / $882.21	Professional		$689.73	$882.21	$882.21
United Facility/Professional Professional Modifier Low / Median / High Price $380.75 / $400.12 / $766.89	Professional		$380.75	$400.12	$766.89