Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.69 / $399.24 / $1,920.26	Professional		$292.69	$399.24	$1,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.89 / $1,290.47 / $1,683.08	Professional		$465.89	$1,290.47	$1,683.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.44 / $546.96 / $665.55	Facility		$333.44	$546.96	$665.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $494.86 / $625.62 / $698.83	Professional		$494.86	$625.62	$698.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.29 / $665.55 / $732.11	Facility		$528.29	$665.55	$732.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $565.72 / $665.55 / $689.34	Professional		$565.72	$665.55	$689.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $570.91 / $698.83	Facility		$380.63	$570.91	$698.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $582.78 / $732.11	Professional		$277.86	$582.78	$732.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $554.50 / $1,106.78 / $2,334.96	Facility		$554.50	$1,106.78	$2,334.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $572.37 / $732.11 / $732.11	Professional		$572.37	$732.11	$732.11
United Facility/Professional Professional Modifier Low / Median / High Price $286.06 / $303.89 / $582.46	Professional		$286.06	$303.89	$582.46