Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $306.48 / $1,962.46	Professional		$246.05	$306.48	$1,962.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $361.45	Professional		$263.86	$263.86	$361.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.64 / $1,080.23 / $1,408.91	Professional		$357.64	$1,080.23	$1,408.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $419.88 / $523.46	Facility		$306.48	$419.88	$523.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.88 / $480.26 / $536.46	Professional		$379.88	$480.26	$536.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.55 / $498.94 / $561.14	Facility		$405.55	$498.94	$561.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $459.82 / $510.91 / $510.91	Professional		$459.82	$510.91	$510.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $438.79 / $536.46	Facility		$306.48	$438.79	$536.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $447.38 / $562.00	Professional		$263.86	$447.38	$562.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.67 / $849.64 / $1,792.47	Facility		$425.67	$849.64	$1,792.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $439.38 / $562.00 / $562.00	Professional		$439.38	$562.00	$562.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.56 / $254.50 / $485.55	Professional		$239.56	$254.50	$485.55