Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $392.27 / $2,276.60	Professional		$256.38	$392.27	$2,276.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $400.78	Professional		$292.57	$292.57	$400.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.49 / $1,253.52 / $1,634.92	Professional		$451.49	$1,253.52	$1,634.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.27 / $537.41 / $644.98	Facility		$392.27	$537.41	$644.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $606.28 / $677.23	Professional		$479.58	$606.28	$677.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.98 / $591.78 / $650.96	Facility		$511.98	$591.78	$650.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $580.48 / $644.98 / $644.98	Professional		$580.48	$644.98	$644.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.27 / $557.92 / $677.23	Facility		$392.27	$557.92	$677.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $564.77 / $709.48	Professional		$292.57	$564.77	$709.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $537.36 / $1,072.58 / $2,262.81	Facility		$537.36	$1,072.58	$2,262.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $554.67 / $709.48 / $709.48	Professional		$554.67	$709.48	$709.48
United Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $295.24 / $563.27	Professional		$282.07	$295.24	$563.27