Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $399.18 / $1,891.64	Professional		$247.92	$399.18	$1,891.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $1,212.33 / $1,581.20	Professional		$459.43	$1,212.33	$1,581.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $546.88 / $656.33	Facility		$399.18	$546.88	$656.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $616.95 / $689.15	Professional		$488.01	$616.95	$689.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.98 / $590.70 / $656.33	Facility		$520.98	$590.70	$656.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $572.26 / $656.33 / $656.33	Professional		$572.26	$656.33	$656.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $570.83 / $689.15	Facility		$399.18	$570.83	$689.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $574.71 / $721.96	Professional		$360.31	$574.71	$721.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $546.82 / $1,091.46 / $2,302.63	Facility		$546.82	$1,091.46	$2,302.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $564.44 / $721.96 / $721.96	Professional		$564.44	$721.96	$721.96
United Facility/Professional Facility Modifier Low / Median / High Price $915.61 / $915.61 / $1,220.82	Facility		$915.61	$915.61	$1,220.82
United Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $285.49 / $544.67	Professional		$272.77	$285.49	$544.67