Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.47 / $516.65 / $2,773.95	Professional		$340.47	$516.65	$2,773.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Facility		$450.57	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $450.57	Professional		$328.92	$328.92	$450.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.90 / $1,527.67 / $1,992.48	Professional		$602.90	$1,527.67	$1,992.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.65 / $707.81 / $861.28	Facility		$516.65	$707.81	$861.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $809.60 / $904.34	Professional		$640.40	$809.60	$904.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.66 / $775.15 / $887.12	Facility		$683.66	$775.15	$887.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $721.07 / $861.28 / $901.34	Professional		$721.07	$861.28	$901.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.42 / $738.81 / $904.34	Facility		$450.42	$738.81	$904.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $754.17 / $947.41	Professional		$328.92	$754.17	$947.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $717.57 / $1,432.28 / $3,021.66	Facility		$717.57	$1,432.28	$3,021.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $740.70 / $947.41 / $947.41	Professional		$740.70	$947.41	$947.41
United Facility/Professional Professional Modifier Low / Median / High Price $338.62 / $359.73 / $686.33	Professional		$338.62	$359.73	$686.33