Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $418.94 / $2,254.11	Professional		$253.85	$418.94	$2,254.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $379.03	Professional		$276.69	$276.69	$379.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.17 / $1,241.45 / $1,619.16	Professional		$482.17	$1,241.45	$1,619.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.94 / $573.95 / $688.82	Facility		$418.94	$573.95	$688.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.15 / $647.49 / $723.26	Professional		$512.15	$647.49	$723.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.75 / $688.82 / $781.25	Facility		$546.75	$688.82	$781.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $688.82 / $688.82 / $781.25	Professional		$688.82	$688.82	$781.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.26 / $591.59 / $723.26	Facility		$352.26	$591.59	$723.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $603.16 / $757.70	Professional		$276.69	$603.16	$757.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $573.89 / $1,145.48 / $2,416.62	Facility		$573.89	$1,145.48	$2,416.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $757.70 / $757.70	Professional		$592.39	$757.70	$757.70
United Facility/Professional Professional Modifier Low / Median / High Price $279.29 / $292.32 / $557.71	Professional		$279.29	$292.32	$557.71