Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.55 / $370.68 / $2,011.42	Professional		$289.55	$370.68	$2,011.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.55 / $1,107.22 / $1,444.09	Professional		$432.55	$1,107.22	$1,444.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.68 / $507.83 / $617.92	Facility		$370.68	$507.83	$617.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $580.85 / $648.83	Professional		$459.46	$580.85	$648.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.50 / $617.92 / $683.89	Facility		$490.50	$617.92	$683.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $617.92 / $683.89	Professional		$556.14	$617.92	$683.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $530.07 / $648.83	Facility		$314.33	$530.07	$648.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $541.09 / $679.72	Professional		$272.55	$541.09	$679.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $514.83 / $1,027.59 / $2,167.92	Facility		$514.83	$1,027.59	$2,167.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $531.41 / $679.72 / $679.72	Professional		$531.41	$679.72	$679.72
United Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $260.85 / $497.67	Professional		$245.54	$260.85	$497.67