Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $480.60 / $2,279.96	Professional		$342.35	$480.60	$2,279.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $589.44	Professional		$430.29	$430.29	$589.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $1,673.97 / $2,183.27	Professional		$553.15	$1,673.97	$2,183.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.60 / $658.42 / $811.55	Facility		$480.60	$658.42	$811.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $733.11 / $790.21	Professional		$587.54	$733.11	$790.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.25 / $790.21 / $1,053.60	Facility		$627.25	$790.21	$1,053.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $671.68 / $790.21 / $1,053.60	Professional		$671.68	$790.21	$1,053.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.60 / $691.93 / $829.72	Facility		$480.60	$691.93	$829.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $691.93 / $869.23	Professional		$430.29	$691.93	$869.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $658.36 / $1,314.10 / $2,772.29	Facility		$658.36	$1,314.10	$2,772.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $679.58 / $869.23 / $869.23	Professional		$679.58	$869.23	$869.23
United Facility/Professional Professional Modifier Low / Median / High Price $376.65 / $394.23 / $752.13	Professional		$376.65	$394.23	$752.13