Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $322.08 / $1,410.83	Professional		$212.87	$322.08	$1,410.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $1,035.50 / $1,350.55	Professional		$370.69	$1,035.50	$1,350.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.08 / $441.25 / $529.55	Facility		$322.08	$441.25	$529.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $497.79 / $556.04	Professional		$393.75	$497.79	$556.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.35 / $529.55 / $588.07	Facility		$420.35	$529.55	$588.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $420.69 / $529.55 / $588.07	Professional		$420.69	$529.55	$588.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $460.57 / $556.04	Facility		$305.54	$460.57	$556.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $463.70 / $582.52	Professional		$223.04	$463.70	$582.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $441.20 / $880.64 / $1,857.86	Facility		$441.20	$880.64	$1,857.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $455.42 / $582.52 / $582.52	Professional		$455.42	$582.52	$582.52
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $243.95 / $465.42	Professional		$233.08	$243.95	$465.42