Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $368.04 / $1,956.11	Professional		$261.67	$368.04	$1,956.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $427.13	Professional		$311.80	$311.80	$427.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $1,279.08 / $1,668.25	Professional		$423.60	$1,279.08	$1,668.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.04 / $515.83 / $619.99	Facility		$368.04	$515.83	$619.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $568.83 / $635.40	Professional		$449.95	$568.83	$635.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $590.96 / $664.38	Facility		$480.35	$590.96	$664.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $544.63 / $605.14 / $664.38	Professional		$544.63	$605.14	$664.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.04 / $529.88 / $635.40	Facility		$368.04	$529.88	$635.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $529.88 / $665.65	Professional		$311.80	$529.88	$665.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $504.17 / $1,006.32 / $2,123.02	Facility		$504.17	$1,006.32	$2,123.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.41 / $665.65 / $665.65	Professional		$520.41	$665.65	$665.65
United Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $301.32 / $574.88	Professional		$287.89	$301.32	$574.88