Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $372.96 / $1,936.99	Professional		$276.27	$372.96	$1,936.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $319.76	Facility		$319.76	$319.76	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $319.76	Professional		$233.42	$233.42	$319.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.22 / $1,066.74 / $1,391.31	Professional		$435.22	$1,066.74	$1,391.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.33 / $510.96 / $621.74	Facility		$366.33	$510.96	$621.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $584.44 / $621.74	Professional		$462.30	$584.44	$621.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.71 / $553.86 / $621.74	Facility		$491.71	$553.86	$621.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $503.51 / $559.57 / $621.74	Professional		$503.51	$559.57	$621.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.51 / $529.99 / $652.83	Facility		$311.51	$529.99	$652.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $544.41 / $683.91	Professional		$233.42	$544.41	$683.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.00 / $1,033.94 / $2,181.27	Facility		$518.00	$1,033.94	$2,181.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $534.70 / $683.91 / $683.91	Professional		$534.70	$683.91	$683.91
United Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $251.20 / $479.25	Professional		$239.04	$251.20	$479.25