Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $373.77 / $2,364.17	Professional		$266.25	$373.77	$2,364.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $1,301.82 / $1,697.90	Professional		$430.19	$1,301.82	$1,697.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $523.85 / $631.13	Facility		$373.77	$523.85	$631.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.94 / $577.67 / $614.54	Professional		$456.94	$577.67	$614.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $487.81 / $600.15 / $676.01	Facility		$487.81	$600.15	$676.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $553.10 / $614.54 / $676.01	Professional		$553.10	$614.54	$676.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $538.12 / $645.28	Facility		$373.77	$538.12	$645.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $538.12 / $676.01	Professional		$330.09	$538.12	$676.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.01 / $1,021.98 / $2,156.03	Facility		$512.01	$1,021.98	$2,156.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.51 / $676.01 / $676.01	Professional		$528.51	$676.01	$676.01
United Facility/Professional Facility Modifier Low / Median / High Price $983.28 / $983.28 / $1,311.04	Facility		$983.28	$983.28	$1,311.04
United Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $306.58 / $584.94	Professional		$292.93	$306.58	$584.94