Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $375.26 / $1,446.89	Professional		$217.26	$375.26	$1,446.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $344.22	Facility		$344.22	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $344.22	Professional		$251.28	$251.28	$344.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $1,062.49 / $1,385.75	Professional		$431.90	$1,062.49	$1,385.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.26 / $514.11 / $617.00	Facility		$375.26	$514.11	$617.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $458.76 / $579.98 / $647.85	Professional		$458.76	$579.98	$647.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.72 / $551.63 / $617.00	Facility		$489.72	$551.63	$617.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $501.48 / $617.00 / $654.02	Professional		$501.48	$617.00	$654.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $525.92 / $647.85	Facility		$319.89	$525.92	$647.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $540.27 / $678.70	Professional		$251.28	$540.27	$678.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $514.04 / $1,026.04 / $2,164.65	Facility		$514.04	$1,026.04	$2,164.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $530.62 / $678.70 / $678.70	Professional		$530.62	$678.70	$678.70
United Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $250.18 / $477.31	Professional		$239.03	$250.18	$477.31