Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $484.14 / $2,296.71	Professional		$294.64	$484.14	$2,296.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.22 / $1,264.90 / $1,649.74	Professional		$557.22	$1,264.90	$1,649.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $629.14 / $796.03	Facility		$484.14	$629.14	$796.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $591.87 / $748.27 / $796.03	Professional		$591.87	$748.27	$796.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.85 / $777.37 / $875.63	Facility		$631.85	$777.37	$875.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $632.36 / $796.03 / $796.03	Professional		$632.36	$796.03	$796.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $678.54 / $835.83	Facility		$380.63	$678.54	$835.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $697.03 / $875.63	Professional		$277.86	$697.03	$875.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.20 / $1,323.76 / $2,792.72	Facility		$663.20	$1,323.76	$2,792.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $684.59 / $875.63 / $875.63	Professional		$684.59	$875.63	$875.63
United Facility/Professional Professional Modifier Low / Median / High Price $284.56 / $297.85 / $568.25	Professional		$284.56	$297.85	$568.25