Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $360.39 / $1,832.33	Professional		$203.35	$360.39	$1,832.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $297.62	Professional		$217.26	$217.26	$297.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.55 / $1,009.22 / $1,316.28	Professional		$420.55	$1,009.22	$1,316.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $489.31 / $600.79	Facility		$357.23	$489.31	$600.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.70 / $564.74 / $630.83	Professional		$446.70	$564.74	$630.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.89 / $540.71 / $600.79	Facility		$476.89	$540.71	$600.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $540.61 / $600.79 / $600.79	Professional		$540.61	$600.79	$600.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.99 / $512.11 / $630.83	Facility		$300.99	$512.11	$630.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $526.07 / $660.87	Professional		$217.26	$526.07	$660.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $500.54 / $999.08 / $2,107.75	Facility		$500.54	$999.08	$2,107.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $516.67 / $660.87 / $660.87	Professional		$516.67	$660.87	$660.87
United Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $237.62 / $453.35	Professional		$226.12	$237.62	$453.35