Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.44 / $444.23 / $2,604.82	Professional		$316.44	$444.23	$2,604.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $456.40	Professional		$333.17	$333.17	$456.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.29 / $1,546.84 / $2,017.48	Professional		$511.29	$1,546.84	$2,017.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.23 / $614.50 / $749.93	Facility		$444.23	$614.50	$749.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $543.09 / $686.59 / $766.93	Professional		$543.09	$686.59	$766.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.78 / $713.29 / $803.45	Facility		$579.78	$713.29	$803.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $579.78 / $730.41 / $766.93	Professional		$579.78	$730.41	$766.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.23 / $635.25 / $766.93	Facility		$444.23	$635.25	$766.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $639.57 / $803.45	Professional		$333.17	$639.57	$803.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $608.53 / $1,214.64 / $2,562.50	Facility		$608.53	$1,214.64	$2,562.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $628.15 / $803.45 / $803.45	Professional		$628.15	$803.45	$803.45
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $364.39 / $695.21	Professional		$348.14	$364.39	$695.21