Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.21 / $341.27 / $1,641.41	Professional		$250.21	$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 / $237.52	Professional		$237.52	$237.52	$237.52
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 $109.12 / $435.02 / $568.90	Facility		$109.12	$435.02	$568.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $430.62 / $540.46 / $597.35	Professional		$430.62	$540.46	$597.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $568.90 / $648.22	Facility		$555.57	$568.90	$648.22
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 $248.20 / $259.77 / $495.62	Professional		$248.20	$259.77	$495.62