Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $447.05 / $2,150.21	Professional		$280.73	$447.05	$2,150.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.67 / $1,183.94 / $1,544.15	Professional		$521.67	$1,183.94	$1,544.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.05 / $573.95 / $745.25	Facility		$447.05	$573.95	$745.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.50 / $707.99 / $782.51	Professional		$559.50	$707.99	$782.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.55 / $670.73 / $745.25	Facility		$591.55	$670.73	$745.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $745.25 / $760.16	Professional		$592.04	$745.25	$760.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.37 / $612.46 / $782.51	Facility		$373.37	$612.46	$782.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $652.57 / $819.78	Professional		$272.70	$652.57	$819.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $620.90 / $1,239.32 / $2,614.59	Facility		$620.90	$1,239.32	$2,614.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $819.78 / $819.78	Professional		$640.91	$819.78	$819.78
United Facility/Professional Facility Modifier Low / Median / High Price $276.36 / $276.36 / $279.31	Facility		$276.36	$276.36	$279.31
United Facility/Professional Professional Modifier Low / Median / High Price $262.48 / $278.85 / $532.00	Professional		$262.48	$278.85	$532.00