Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $461.54 / $2,887.60	Professional		$325.19	$461.54	$2,887.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $485.57	Professional		$354.47	$354.47	$485.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.21 / $1,590.18 / $2,073.96	Professional		$531.21	$1,590.18	$2,073.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.54 / $632.30 / $770.72	Facility		$461.54	$632.30	$770.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.25 / $713.34 / $796.81	Professional		$564.25	$713.34	$796.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.38 / $741.08 / $825.68	Facility		$602.38	$741.08	$825.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $602.38 / $750.62 / $758.87	Professional		$602.38	$750.62	$758.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.27 / $660.00 / $796.81	Facility		$451.27	$660.00	$796.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $664.49 / $834.76	Professional		$354.47	$664.49	$834.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $632.25 / $1,261.98 / $2,662.35	Facility		$632.25	$1,261.98	$2,662.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $652.63 / $834.76 / $834.76	Professional		$652.63	$834.76	$834.76
United Facility/Professional Professional Modifier Low / Median / High Price $357.78 / $374.47 / $714.45	Professional		$357.78	$374.47	$714.45