Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $320.74 / $1,521.56	Professional		$228.47	$320.74	$1,521.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $329.53	Professional		$240.56	$240.56	$329.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.15 / $1,117.18 / $1,457.07	Professional		$369.15	$1,117.18	$1,457.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.74 / $439.41 / $541.28	Facility		$320.74	$439.41	$541.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $489.25 / $553.73	Professional		$392.11	$489.25	$553.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.61 / $515.00 / $580.10	Facility		$418.61	$515.00	$580.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $474.62 / $527.36 / $527.36	Professional		$474.62	$527.36	$527.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.05 / $461.77 / $553.73	Facility		$317.05	$461.77	$553.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $461.77 / $580.10	Professional		$240.56	$461.77	$580.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $439.37 / $876.98 / $1,850.13	Facility		$439.37	$876.98	$1,850.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.53 / $580.10 / $580.10	Professional		$453.53	$580.10	$580.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $263.08 / $501.95	Professional		$251.36	$263.08	$501.95