Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $369.70 / $1,907.98	Professional		$233.37	$369.70	$1,907.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $393.88	Professional		$287.52	$287.52	$393.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.51 / $1,141.31 / $1,488.57	Professional		$425.51	$1,141.31	$1,488.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.70 / $506.49 / $607.87	Facility		$369.70	$506.49	$607.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.96 / $571.40 / $638.26	Professional		$451.96	$571.40	$638.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $588.27 / $647.10	Facility		$482.50	$588.27	$647.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $547.08 / $588.27 / $607.87	Professional		$547.08	$588.27	$607.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.70 / $528.66 / $638.26	Facility		$369.70	$528.66	$638.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $532.27 / $668.66	Professional		$287.52	$532.27	$668.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $506.44 / $1,010.86 / $2,132.59	Facility		$506.44	$1,010.86	$2,132.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $668.66 / $668.66	Professional		$522.77	$668.66	$668.66
United Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $268.73 / $512.71	Professional		$256.75	$268.73	$512.71