Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $341.27 / $1,641.41	Professional		$263.67	$341.27	$1,641.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $325.37	Professional		$237.52	$237.52	$325.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $1,102.97 / $1,438.54	Professional		$398.23	$1,102.97	$1,438.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.27 / $484.94 / $568.90	Facility		$341.27	$484.94	$568.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $534.77 / $597.35	Professional		$423.00	$534.77	$597.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.58 / $568.90 / $625.79	Facility		$451.58	$568.90	$625.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $568.90 / $589.29	Professional		$512.01	$568.90	$589.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $498.15 / $597.35	Facility		$325.37	$498.15	$597.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $498.15 / $625.79	Professional		$237.52	$498.15	$625.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $946.06 / $1,995.89	Facility		$473.98	$946.06	$1,995.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.25 / $625.79 / $625.79	Professional		$489.25	$625.79	$625.79
United Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $259.77 / $495.62	Professional		$247.20	$259.77	$495.62