Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $441.34 / $1,674.00	Professional		$265.10	$441.34	$1,674.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $499.82	Professional		$364.87	$364.87	$499.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.96 / $1,227.25 / $1,600.65	Professional		$507.96	$1,227.25	$1,600.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.34 / $604.64 / $725.66	Facility		$441.34	$604.64	$725.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $539.55 / $682.12 / $761.94	Professional		$539.55	$682.12	$761.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.91 / $637.44 / $725.66	Facility		$565.91	$637.44	$725.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $579.49 / $653.09 / $725.66	Professional		$579.49	$653.09	$725.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.34 / $618.57 / $761.94	Facility		$441.34	$618.57	$761.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $635.41 / $798.23	Professional		$364.87	$635.41	$798.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $604.58 / $1,206.74 / $2,545.83	Facility		$604.58	$1,206.74	$2,545.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.07 / $798.23 / $798.23	Professional		$624.07	$798.23	$798.23
United Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
United Facility/Professional Professional Modifier Low / Median / High Price $275.11 / $289.10 / $551.57	Professional		$275.11	$289.10	$551.57