Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $318.26 / $1,509.80	Professional		$226.70	$318.26	$1,509.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $338.50	Professional		$247.11	$247.11	$338.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $1,108.65 / $1,445.96	Professional		$366.30	$1,108.65	$1,445.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.26 / $438.30 / $537.57	Facility		$318.26	$438.30	$537.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $470.95 / $549.44	Professional		$389.08	$470.95	$549.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $523.28 / $697.71	Facility		$415.36	$523.28	$697.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $523.28 / $697.71	Professional		$444.79	$523.28	$697.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.60 / $458.20 / $549.44	Facility		$314.60	$458.20	$549.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $458.20 / $575.61	Professional		$247.11	$458.20	$575.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $435.97 / $870.20 / $1,835.82	Facility		$435.97	$870.20	$1,835.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.02 / $575.61 / $575.61	Professional		$450.02	$575.61	$575.61
United Facility/Professional Professional Modifier Low / Median / High Price $249.42 / $261.06 / $498.07	Professional		$249.42	$261.06	$498.07