Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $402.71 / $2,247.07	Professional		$260.85	$402.71	$2,247.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $461.87	Professional		$367.78	$367.78	$461.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.50 / $1,237.20 / $1,613.60	Professional		$463.50	$1,237.20	$1,613.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $551.71 / $662.14	Facility		$402.71	$551.71	$662.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $492.33 / $622.41 / $695.25	Professional		$492.33	$622.41	$695.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.60 / $662.14 / $778.81	Facility		$525.60	$662.14	$778.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $595.92 / $662.14 / $778.81	Professional		$595.92	$662.14	$778.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $575.88 / $695.25	Facility		$402.71	$575.88	$695.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $579.79 / $728.35	Professional		$367.78	$579.79	$728.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $1,101.11 / $2,322.98	Facility		$551.66	$1,101.11	$2,322.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.44 / $728.35 / $728.35	Professional		$569.44	$728.35	$728.35
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $278.42 / $291.41 / $555.96	Professional		$278.42	$291.41	$555.96