Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $428.15 / $1,897.40	Professional		$284.89	$428.15	$1,897.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.77 / $1,392.72 / $1,816.47	Professional		$492.77	$1,392.72	$1,816.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.15 / $586.57 / $703.96	Facility		$428.15	$586.57	$703.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.42 / $661.72 / $739.16	Professional		$523.42	$661.72	$739.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.79 / $703.96 / $851.79	Facility		$558.79	$703.96	$851.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $559.24 / $703.96 / $851.79	Professional		$559.24	$703.96	$851.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $612.25 / $739.16	Facility		$410.92	$612.25	$739.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $616.41 / $774.36	Professional		$299.97	$616.41	$774.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $1,170.66 / $2,469.71	Facility		$586.50	$1,170.66	$2,469.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $774.36 / $774.36	Professional		$605.41	$774.36	$774.36
United Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $328.08 / $625.92	Professional		$313.45	$328.08	$625.92