Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.22 / $378.93 / $2,081.13	Professional		$303.22	$378.93	$2,081.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $459.90	Professional		$335.73	$335.73	$459.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.82 / $1,266.42 / $1,675.68	Professional		$454.82	$1,266.42	$1,675.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.83 / $505.30 / $622.96	Facility		$368.83	$505.30	$622.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $570.04 / $606.42	Professional		$450.91	$570.04	$606.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $592.22 / $667.07	Facility		$481.38	$592.22	$667.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $545.79 / $606.42 / $667.07	Professional		$545.79	$606.42	$667.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.83 / $527.42 / $636.75	Facility		$368.83	$527.42	$636.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $531.01 / $667.07	Professional		$335.73	$531.01	$667.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.24 / $1,008.48 / $2,127.54	Facility		$505.24	$1,008.48	$2,127.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $667.07 / $667.07	Professional		$521.53	$667.07	$667.07
United Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $302.54 / $577.21	Professional		$289.06	$302.54	$577.21